George Gaillardetz DMD, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

2295 Issued in NH

Legal business name

GEORGE GAILLARDETZ DMD, INC

Practice address

26 Bay St
Wolfeboro, NH 03894-4320

Phone

(603) 569-2268

Fax

(603) 569-5837

NPI assigned

May 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George Armand Gaillardetz, DMD

Title

Owner

Phone

(603) 569-2268

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1992927669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 998",
            "city": "WOLFEBORO FALLS",
            "state": "NH",
            "postal_code": "038960998",
            "telephone_number": "603-569-2268",
            "fax_number": "603-569-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BAY ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944320",
            "telephone_number": "603-569-2268",
            "fax_number": "603-569-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE GAILLARDETZ DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "GAILLARDETZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ARMAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-569-2268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NH",
            "license": "2295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30316268",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly A Falla
• Sarah Fenton
• Stephen James Fleet, MD
• Daniel Patrick Fleming, DC
• Toni E Garceau
• Melissa George, MS/CCC-SLP
• Kathleen Gestewitz
• Amanda Goddu, LICSW
• Colleen Goetz, CRNP
• Julie Ann Grandin

• Dentist in Wolfeboro, NH
• Providers in Wolfeboro, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.