MEDICARE: DR. JONAS RIMVYDAS GAVELIS D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	13137	MA
2	1223P0700X	Prosthodontics	13137	MA

General Provider Information

NPI Number	:	1568575934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONAS RIMVYDAS GAVELIS D.M.D.

Provider Business Mailing Address
First Line	:	227 MAIN ST
Second Line	:
City	:	ROCKPORT
State	:	MA
Zip	:	01966-2024
Country	:	US
Telephone Number	:	978-546-3020
Fax Number	:	978-546-6162

Provider Business Practice Location Address
First Line	:	227 MAIN ST
Second Line	:
City	:	ROCKPORT
State	:	MA
Zip	:	01966-2024
Country	:	US
Telephone Number	:	978-546-3020
Fax Number	:	978-546-6162

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	09/11/2025

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