Provider Demographics
NPI:1851448328
Name:MAYMU, DMD&THOMASCHOU, DMD, P.C.
Entity Type:Organization
Organization Name:MAYMU, DMD&THOMASCHOU, DMD, P.C.
Other - Org Name:FAMILY DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-944-0072
Mailing Address - Street 1:636 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3009
Mailing Address - Country:US
Mailing Address - Phone:781-944-0072
Mailing Address - Fax:781-944-1213
Practice Address - Street 1:636 MAIN ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3009
Practice Address - Country:US
Practice Address - Phone:781-944-0072
Practice Address - Fax:781-944-1213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA149261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty