DR. Thomas Francis Mcgillicuddy JR., DMD

NPI #1053389098 in Needham, Massachusetts

Provider Information

NPI Number: 1053389098
Entity Type: Individual
Name: DR. Thomas Francis Mcgillicuddy JR., DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: DMD
Enumeration Date: Mar 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 117 CHESTNUT ST
City: Needham
State: Massachusetts
ZIP Code: 02492-2515
Phone: (781) 444-3853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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