Provider Demographics
NPI:1265831135
Name:THOMAS M. HOWIESON D.D.S., PC
Entity Type:Organization
Organization Name:THOMAS M. HOWIESON D.D.S., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:HOWIESON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:781-235-6710
Mailing Address - Street 1:386 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02481-6213
Mailing Address - Country:US
Mailing Address - Phone:781-235-6710
Mailing Address - Fax:
Practice Address - Street 1:386 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WELLESLEY HILLS
Practice Address - State:MA
Practice Address - Zip Code:02481-6213
Practice Address - Country:US
Practice Address - Phone:781-235-6710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THOMAS M. HOWIESON D.D.S., P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-17
Last Update Date:2014-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA14570261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1770657603OtherINDIVIDUAL NPI #