Provider Demographics
NPI:1689681371
Name:THOMAS, KEARSTIN FRANCES (DMD)
Entity type:Individual
Prefix:DR
First Name:KEARSTIN
Middle Name:FRANCES
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1864 CENTRE ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132
Mailing Address - Country:US
Mailing Address - Phone:617-323-1409
Mailing Address - Fax:617-323-1430
Practice Address - Street 1:1864 CENTRE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132
Practice Address - Country:US
Practice Address - Phone:617-323-1409
Practice Address - Fax:617-323-1430
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA196511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice