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
Fax: (401) 788-9048
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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