Provider Demographics
NPI:1811194574
Name:THOMAS J CURTIN, D.D.S.,PC
Entity Type:Organization
Organization Name:THOMAS J CURTIN, D.D.S.,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:CURTIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:508-587-8300
Mailing Address - Street 1:747 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:MA
Mailing Address - Zip Code:02322-1746
Mailing Address - Country:US
Mailing Address - Phone:508-587-8300
Mailing Address - Fax:508-583-9449
Practice Address - Street 1:747 W MAIN ST
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:MA
Practice Address - Zip Code:02322-1746
Practice Address - Country:US
Practice Address - Phone:508-587-8300
Practice Address - Fax:508-583-9449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA143311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAX04445OtherBCBS
MA10903OtherBCBS
MA00467OtherDELTA