Provider Demographics
NPI:1780734822
Name:VUTECH, THOMAS F (DMD, FAGD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:F
Last Name:VUTECH
Suffix:
Gender:M
Credentials:DMD, FAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7430 POST RD
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-3217
Mailing Address - Country:US
Mailing Address - Phone:401-294-3533
Mailing Address - Fax:401-667-0953
Practice Address - Street 1:7430 POST RD
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-3217
Practice Address - Country:US
Practice Address - Phone:401-294-3533
Practice Address - Fax:401-667-0953
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI24891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice