Provider Demographics
NPI:1053516450
Name:GEORGE GHALY, DDS, PC
Entity type:Organization
Organization Name:GEORGE GHALY, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GHALY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-366-1855
Mailing Address - Street 1:201 BOSTON POST RD W STE 405A
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-4667
Mailing Address - Country:US
Mailing Address - Phone:508-366-1855
Mailing Address - Fax:508-366-1855
Practice Address - Street 1:201 BOSTON POST RD W STE 405
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-4667
Practice Address - Country:US
Practice Address - Phone:508-366-1855
Practice Address - Fax:508-870-0544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty