Ford, Thomas James
Ford, Thomas James is an individual health care provider with primary practice located at 209 Harvard Street Suite 206, Brookline MA 02446-5005. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ford, Thomas James can be contacted via phone (617) 277-0180.Contact Information
Primary practice address
209 Harvard Street Suite 206
Brookline MA 02446-5005
Phone: (617) 277-0180
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | MA11864 | Massachusetts |
Profile Details
| NPI number | 1538213079 |
|---|---|
| LBN Legal business name | Ford, Thomas James |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538213079 | NPPES |
| Massachusetts | Other | X01585 | BLUE CROSS BLUE SHIELD |
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