Provider Demographics
NPI:1659438810
Name:THOMAS THOMAS AND THOMAS
Entity Type:Organization
Organization Name:THOMAS THOMAS AND THOMAS
Other - Org Name:THOMAS FAMILY DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATION TREASURER,SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:K
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:508-359-6600
Mailing Address - Street 1:5 N MEADOWS RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MEDFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02052-2317
Mailing Address - Country:US
Mailing Address - Phone:508-359-6600
Mailing Address - Fax:508-359-8710
Practice Address - Street 1:5 N MEADOWS RD
Practice Address - Street 2:SUITE 3
Practice Address - City:MEDFIELD
Practice Address - State:MA
Practice Address - Zip Code:02052-2317
Practice Address - Country:US
Practice Address - Phone:508-359-6600
Practice Address - Fax:508-359-8710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA121891223E0200X
MA165661223G0001X
MA148731223G0001X
MA165651223G0001X
MA183421223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Not Answered1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty