Leonard, Thomas George
Leonard, Thomas George is an individual health care provider with primary practice located at 799 Turnpike Street , North Andover MA 01845-6130. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Leonard, Thomas George can be contacted via phone (978) 687-3500.Contact Information
Primary practice address
799 Turnpike Street
North Andover MA 01845-6130
Phone: (978) 687-3500
Fax: (978) 689-3472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 10654 | Massachusetts |
Profile Details
| NPI number | 1326161100 |
|---|---|
| LBN Legal business name | Leonard, Thomas George |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1326161100 | NPPES |
| Massachusetts | Other | X05759 | BCBS |
| Massachusetts | MEDICAID | 0215481 | BCBS |
| Massachusetts | Other | 692193 | BCBS |
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