DR. THOMAS HEAD RADDALL IV (NPI# 1295347342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295347342 |
Entity Type | Individual |
Full Name | DR. THOMAS HEAD RADDALL IV |
Credential | DDS |
Practice Address |
300 Longwood Avenue Boston Children's Hospital - Department of Dentistry Boston MA 02115 |
Mailing Address |
80 Fenwood Road Suite 710 Boston MA 02115 |
Practice Telephone | 6173556571 |
Mailing Telephone | 9023501717 |
Enumeration Date | 2020-08-20 |
Last Update Date | 2020-08-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | DL14399 | MA | Dental Providers |
Street Address |
300 LONGWOOD AVENUE BOSTON CHILDREN'S HOSPITAL - DEPARTMENT OF DENTISTRY |
City | BOSTON |
State | MA |
Zip Code | 02115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912905944 | Neil Schechter | Pediatrics | 300 Longwood Avenue, Boston, MA 02115-5784 | 2005-07-13 |
1629676960 | Rose Ashraf | Psychologist | 300 Longwood Avenue, Outpatient Psychiatry Fegan 8, Boston, MA 02115 | 2020-10-09 |
1366050858 | Pui Yin Florence Ip | Student in an Organized Health Care Education/Training Program | 300 Longwood Avenue, Boston Children's Hospital, Boston, MA 02115 | 2020-07-21 |
1255992152 | Antonia Schulz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 300 Longwood Avenue, Cardiac Surgery, Boston, MA 02115 | 2019-06-22 |
1144881160 | Pierre-olivier Grenier | Dermatology | 300 Longwood Avenue, Boston, MA 02115 | 2019-06-21 |
1275190548 | Osama Samir Badr Aglan | Student in an Organized Health Care Education/Training Program | 300 Longwood Avenue, Boston, MA 02115 | 2019-05-22 |
1376108563 | Patrick B Duffy | Student in an Organized Health Care Education/Training Program | 300 Longwood Avenue, Radiology, Boston, MA 02115 | 2019-05-03 |
1487113734 | Kathryn Maria Sundheim | Student in an Organized Health Care Education/Training Program | 300 Longwood Avenue, Bch Hunnewell Building, Pavilion 129, Housestaff Lounge, Boston, MA 02115 | 2019-03-17 |
1306320890 | Kumar K Shashi | Student in an Organized Health Care Education/Training Program | 300 Longwood Avenue, Radiology, Boston, MA 02115 | 2018-09-20 |
1902384134 | Teresa I Liang | Student in an Organized Health Care Education/Training Program | 300 Longwood Avenue, Department of Radiology/bch3398, Boston, MA 02115-5724 | 2018-07-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
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Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497353619 | Shikha Nanda | Dentist | 45 E Newton St Apt 107, Boston, MA 02118-4803 | 2020-10-09 |
1972100964 | Dafjola Bejleraj | Dentist | 10 High St Ste 333, Boston, MA 02110-1672 | 2020-10-03 |
1851998827 | Rami Salloum | Dentist | 60 Mount Pleasant Ave, Boston, MA 02119-3348 | 2020-10-02 |
1649885492 | Vanessa Lynn Mancuso Cortinas | Dentist | 490 Harrison Ave Apt 202, Boston, MA 02118-2573 | 2020-09-09 |
1407468465 | Treon Dental Partner | Dentist | 22 Traveler St, Boston, MA 02118-2645 | 2020-08-20 |
1134747603 | Ahmed Bashir Raddad | Dentist | 100 E Newton St # 707a, Boston, MA 02118-3552 | 2020-07-10 |
1770108656 | Nedg Boston | Dentist | 1 Milk St, Boston, MA 02109-5413 | 2020-06-16 |
1730702309 | Alla Anastos | Dentist | 4 Charlesgate E Apt 502, Boston, MA 02215-2324 | 2020-05-18 |
1942841788 | Mina Ihsan | Dentist | 701 Massachusetts Ave Apt 5, Boston, MA 02118-4053 | 2019-10-02 |
1831740166 | Saad Joulakh | Dentist | 42 Worcester Sq Apt 11, Boston, MA 02118-2920 | 2019-09-27 |
Find all providers in BOSTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.