Form Dentistry
Form Dentistry provides General Practice Dentistry in Waltham, Massachusetts. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
66 S StWaltham, MA 02453-3537
Phone: (781) 899-2324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1841194412 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patrick Reilly — Dentist, Owner · (781) 351-1355 |
| Other names | Giglio Dental |
| NPI enumerated | October 6, 2026 |
| Last updated in NPPES | October 6, 2026 |
| Certification date | October 6, 2026 |
| Mailing address | 75 Conant Rd, Quincy, MA 02171-1805 |
Other providers in Waltham
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Dr. Robert Defrancesco, DMD
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Dayana I Escobar, DDS
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Dr. Vincent PA Failla, DMD
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Dr. Kathryn Weber Ferrante, DMD
976 Main St, Waltham, MA 02451-7413 · (781) 894-3143
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Dr. John Francis Giglio III, DMD
66 S St, Waltham, MA 02453 · (781) 899-2324
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Dr. Robert Girschek, DMD
879 Main St, Waltham, MA 02451-7414 · (781) 899-3700
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Dr. Tripti Gupta, DMD
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Dr. Yelena Vladimirovna Gutnichenko, DMD
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