NPI Code Details Logo

NPI 1841114048

NPI 1841114048 : ROBERT J. GARGANO DDS PLLC : BOSTON, MA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1841114048
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ROBERT J. GARGANO DDS PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/10/2026
-----------------------------------------------------
    Last Update Date     |    08/10/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    800 BOYLSTON ST # 2 
-----------------------------------------------------
    City                 |    BOSTON
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    02199-1900
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    617-259-1100
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    13 BECKLER AVE UNIT 2 
-----------------------------------------------------
    City                 |    SOUTH BOSTON
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    02127-3103
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    516-680-2375
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DENTIST
-----------------------------------------------------
    Name                 |    DR. ROBERT JAMES GARGANO 
-----------------------------------------------------
    Credential           |    DDS
-----------------------------------------------------
    Telephone            |    516-680-2375
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QD0000X
-----------------------------------------------------
    Taxonomy Name        |    Dental Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.