Healthcare Provider Details

I. General information

NPI: 1649839192
Provider Name (Legal Business Name): THOMAS CASEY FERLITO DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2019
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 S MAIN ST
BRADFORD MA
01835-7210
US

IV. Provider business mailing address

412 S MAIN ST
BRADFORD MA
01835-7210
US

V. Phone/Fax

Practice location:
  • Phone: 978-521-6262
  • Fax:
Mailing address:
  • Phone: 978-521-6262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN1858357
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: