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NPI Code Detail

MEDICARE: DR. FREDERIC H. C. THAI D.M.D.

MEDICARE: DR. FREDERIC H. C. THAI D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry18825MA

General Provider Information

NPI Number : 1346347069
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FREDERIC H. C. THAI D.M.D.
Provider Business Mailing Address
First Line : 10 UNION ST
Second Line : SUITE 3D
City : NATICK
State : MA
Zip : 01760-4759
Country : US
Telephone Number : 508-653-8370
Fax Number :
Provider Business Practice Location Address
First Line : 10 UNION ST
Second Line : SUITE 3D
City : NATICK
State : MA
Zip : 01760-4759
Country : US
Telephone Number : 508-653-8370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2006
Last Update Date : 12/01/2015

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Directions to “ DR. FREDERIC H. C. THAI D.M.D.” Practice Location

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