Healthcare Provider Details

I. General information

NPI: 1841114048
Provider Name (Legal Business Name): ROBERT J. GARGANO DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 BOYLSTON ST # 2
BOSTON MA
02199-1900
US

IV. Provider business mailing address

13 BECKLER AVE UNIT 2
SOUTH BOSTON MA
02127-3103
US

V. Phone/Fax

Practice location:
  • Phone: 617-259-1100
  • Fax:
Mailing address:
  • Phone: 516-680-2375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT JAMES GARGANO
Title or Position: DENTIST
Credential: DDS
Phone: 516-680-2375