Thomas Francis Herlihy IV, DMD

Individual provider Active NPI Dentist · North Easton, MA

NPI 1841306198 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1841306198
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
18280 (MA)
Practice address
191 Washington St
North Easton, MA 02356
Phone
(508) 238-1027
Fax
(508) 238-1475
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150710000411 MA Order and Referring Only - Oral Surgery
Practitioner - Oral Surgery
0446562011

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
18280MAMDDentist
02889RIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Easton Smiles, LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18280 MA Yes
Dentist 122300000X 02889 RI

Addresses

Primary practice location

191 Washington St
North Easton, MA 02356

Mailing address

191 Washington St
North Easton, MA 02356
Phone (508) 238-1027

Other providers in North Easton, MA

All providers in North Easton, MA · Dentist in Massachusetts

Sources for this page

Verify at the official NPI Registry.