Flynn, Thomas R

Flynn, Thomas R is an individual health care provider with primary practice located at 188 Longwood Ave , Boston MA 02115-5819. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Flynn, Thomas R can be contacted via phone (617) 432-1434.

Contact Information

Primary practice address
188 Longwood Ave Boston MA 02115-5819
Phone: (617) 432-1434
Fax: (617) 432-0901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 14710 Massachusetts

Profile Details

NPI number 1689664849
LBN Legal business name Flynn, Thomas R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689664849 NPPES
Massachusetts Other X07864 BCBS MA
Massachusetts Other 147102 BCBS MA

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