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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
11211 | MA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 0252921 | 05 | |
HARVARD | 16311UH | 01 | |
MA | BCBS | X03644 | 01 |
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 |
Street Address |
100 EAST NEWTON STREET ROOM 407 |
City | BOSTON |
State | MA |
Zip Code | 02118-2526 |
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 |
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 Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
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 |
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 |
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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.