THOMAS BLAKE KILGORE


Address: 100 East Newton Street, Room 407, Boston, MA 02118-2526
Phone: 6176384650

THOMAS BLAKE KILGORE (NPI# 1568470581) 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) 1568470581
Entity Type Individual
Full Name THOMAS BLAKE KILGORE
Credential DMD
Practice Address 100 East Newton Street
Room 407
Boston
MA 02118-2526
Mailing Address 715 Albany St
Robinson Building B307
Boston
MA 02118-2526
Practice Telephone 6176384650
Practice Fax Number 6176384970
Mailing Telephone 6176384650
Mailing Fax Number 6176384970
Enumeration Date 2006-08-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
11211 MA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 0252921 05
HARVARD 16311UH 01
MA BCBS X03644 01

Other Providers THOMAS KILGORE

NPI Name Taxonomy Address Enumeration
1538593041 Thomas Matthew Kilgore Physical Therapist 500 Lanier Ave W, Suite 303, Fayetteville, GA 30214-7636 2013-09-03
1659611697 Thomas George Kilgore Counselor 1801 Vicente St, San Francisco, CA 94116-2923 2013-02-28
1598947145 Thomas L Kilgore Thoracic Surgery (Cardiothoracic Vascular Surgery) 1225 N State St, Jackson, MS 39202-2064 2007-12-05

Office Location

Street Address 100 EAST NEWTON STREET
ROOM 407
City BOSTON
State MA
Zip Code 02118-2526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376103531 Rewa Abulhamayel Student in an Organized Health Care Education/Training Program 100 East Newton Street, Boston, MA 02118 2019-06-19
1326599358 Kai-jen Jerry Chiu Dentist 100 East Newton Street, Boston, MA 02465 2016-10-14
1104373414 Luri Lee Dentist 100 East Newton Street, 7th Floor, Boston, MA 02118 2016-09-02
1245605641 Raed Alrowis Dentist 100 East Newton Street, Boston, MA 02118 2015-12-10
1881843514 Chi-chen Hsu Dentist 100 East Newton Street, Boston, MA 02118-2392 2008-09-18
1104080985 Jerome Surmenian Dentist 100 East Newton Street, Boston University Dental School, Boston, MA 02118 2008-07-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649870023 Carlos E Salazar Counselor Hcrc 23 Bradston St., Boston, MA 02118 2020-10-27
1780292607 Jinal Gandhi Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 2020-07-16
1669094777 German Eduardo Velez Student in an Organized Health Care Education/Training Program One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 2020-05-12
1255969895 Isabela Medeiros Heringer Pereira Student in an Organized Health Care Education/Training Program 670 Albany Stree, 4th Floor, Boston, MA 02118 2020-03-30
1033746466 Karan Sunil Hingorani Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 2020-03-25
1326672791 Azza Ahmed Dentist 635 Albany St. G-744, Boston, MA 02118 2020-02-25
1538707401 Jane Margolis Social Worker 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 2019-12-11
1871134833 Supontep Teerakanok Dentist Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 2019-10-01
1750939583 Qasim Silman Ajmi Orthopaedic Surgery Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 2019-08-26
1922655539 Jami Ryan Pollard Physician Assistant 840 Harrison Avenue, Menino Building, Boston, MA 02118 2019-08-20
Find all providers in zip 02118

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528592029 Jaegak Kim Dentist 850 Harrison Ave Fl 6, Boston, MA 02118-4001 2017-04-12
1053750893 Allan Wun Dentist 1 Kneeland St., 5th Floor/ Dhs 503, Boston, MA 02111 2013-06-14
1609189018 Stavros Oikonomou Dentist 660 Washington St Apt 25g, Boston, MA 02111-3243 2010-07-15
1073825352 Cristobal Alberto Quevedo Dentist 761 Harrison Ave Apt 205, Boston, MA 02118-2362 2010-07-02
1740591080 Ahmad Ali Alshadwi Dentist 850 Harrison Ave Fl Acc5, Boston Medical Center Oral Surgery Department, Boston, MA 02118-4001 2010-07-01
1437390481 Behzad Mostoufi Dentist 820 Harrison Ave # Acc5, Boston, MA 02118-2905 2009-03-19
1396991089 Jennifer E. Smith-williams, D.m.d. Dentist 575 Boylston St Fl 5, Boston, MA 02116-3607 2008-08-13
1497923791 Mario S Lucca Dentist 185 Dartmouth St Ste 403, Boston, MA 02116-5883 2008-02-20
1225228422 Steven John Scrivani Dentist One Kneeland Street, Suite 601, Boston, MA 02111 2007-07-25
1215138672 Constantinos Laskarides Dentist 1 Kneeland St Rm 503, Boston, MA 02111-1527 2007-05-31
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02118

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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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