Provider Demographics
NPI:1265573752
Name:DANCOES, THOMAS C (DO)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:C
Last Name:DANCOES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 270
Mailing Address - Street 2:
Mailing Address - City:SOUTH FREEPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04078-0270
Mailing Address - Country:US
Mailing Address - Phone:207-725-9065
Mailing Address - Fax:207-725-9064
Practice Address - Street 1:14 MAINE ST
Practice Address - Street 2:BOX 40
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2049
Practice Address - Country:US
Practice Address - Phone:207-725-9065
Practice Address - Fax:207-725-9064
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101016480207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine