Provider Demographics
NPI:1497733059
Name:FRANCIS, THOMAS PAYSON (DMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:PAYSON
Last Name:FRANCIS
Suffix:
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 1:30 HIGGINS CROWELL RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WEST YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02673-3444
Mailing Address - Country:US
Mailing Address - Phone:508-771-1777
Mailing Address - Fax:
Practice Address - Street 1:30 HIGGINS CROWELL RD
Practice Address - Street 2:SUITE 2
Practice Address - City:WEST YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02673-3444
Practice Address - Country:US
Practice Address - Phone:508-771-1777
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA149041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAX05196OtherBC/BS
MA692951OtherUNITED CONCORDIA