Packer, Thomas Michael
Packer, Thomas Michael is an individual health care provider with primary practice located at 24 Salt Pond Road Suite F1, Wakefield RI 02879-4335. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Packer, Thomas Michael can be contacted via phone (401) 788-8820.Contact Information
Primary practice address
24 Salt Pond Road Suite F1
Wakefield RI 02879-4335
Phone: (401) 788-8820
Fax: (401) 788-9048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1694 | Rhode Island |
Profile Details
| NPI number | 1053360073 |
|---|---|
| LBN Legal business name | Packer, Thomas Michael |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Jul 13th, 2026 - about 3 months 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 | 1053360073 | NPPES |
| Rhode Island | Other | 1694 | DELTA DENTAL |
| Rhode Island | Other | 83496 | DELTA DENTAL |
| Rhode Island | MEDICAID | TP00819 | DELTA DENTAL |
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