Provider Demographics
NPI:1104821214
Name:CURTIN, THOMAS JOSEPH (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JOSEPH
Last Name:CURTIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:747 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:MA
Mailing Address - Zip Code:02322-1746
Mailing Address - Country:US
Mailing Address - Phone:508-587-8300
Mailing Address - Fax:508-583-9449
Practice Address - Street 1:747 W MAIN ST
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:MA
Practice Address - Zip Code:02322-1746
Practice Address - Country:US
Practice Address - Phone:508-587-8300
Practice Address - Fax:508-583-9449
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAAC89680221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA00467OtherDELTA DENTAL INSURANCE
MA00467OtherALTUS DENTAL INSURANCE
MAX04445OtherBC/BS DENTAL INSURANCE