Healthcare Provider Details

I. General information

NPI: 1285740647
Provider Name (Legal Business Name): THOMAS FRANCIS CAHILL DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 E MAIN ST
WEST BROOKFIELD MA
01585
US

IV. Provider business mailing address

18 E MAIN ST PO BOX 776
WEST BROOKFIELD MA
01585
US

V. Phone/Fax

Practice location:
  • Phone: 508-867-6332
  • Fax: 508-867-6335
Mailing address:
  • Phone: 508-867-6332
  • Fax: 508-867-6335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number13540
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: