Provider Demographics
NPI:1073557591
Name:FINN, RAYMOND THOMAS JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:THOMAS
Last Name:FINN
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03246-2673
Mailing Address - Country:US
Mailing Address - Phone:603-524-0881
Mailing Address - Fax:
Practice Address - Street 1:376 UNION AVE
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-2862
Practice Address - Country:US
Practice Address - Phone:603-524-1085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH17361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice