Individual
DR. THOMAS MICHAEL PACKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
24 SALT POND ROAD, SUITE F1, WAKEFIELD, RI 02879-4335
(401) 788-8820
(401) 788-9048
Mailing address
24 SALT POND ROAD, SUITE F1, WAKEFIELD, RI 02879-4335
(401) 788-8820
(401) 788-9048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1694
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1694
DELTA DENTAL
RI
01
—
83496
BC DENTAL
RI
05
—
TP00819
—
RI
Enumeration date
05/08/2006
Last updated
07/08/2007
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