Individual
DR. THOMAS R FLYNN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
(617) 432-0901
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14710
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147102
TUFTS HEALTH PLAN
MA
01
—
X07864
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
07/08/2007
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