DR. THOMAS HEAD RADDALL IV


Address: 300 Longwood Avenue, Boston Children's Hospital - Department of Dentistry, Boston, MA 02115
Phone: 6173556571

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist DL14399 MA Dental Providers

Office Location

Street Address 300 LONGWOOD AVENUE
BOSTON CHILDREN'S HOSPITAL - DEPARTMENT OF DENTISTRY
City BOSTON
State MA
Zip Code 02115

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City BOSTON
Zip Code 02115

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Dataset Information

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.

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