Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Thomas Head Raddall IV, DDS

Individual provider Dentist · NPI 1295347342

Dr. Thomas Head Raddall IV, DDS is a Dentist in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2020
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

300 Longwood Avenue Boston Children's Hospital - Dept OF Dentistry
Boston, MA 02115
Phone: (617) 355-6571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DL14399 (MA)

Record details

NPI number1295347342
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 20, 2020
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020
Mailing address80 Fenwood Road, Suite 710, Boston, MA 02115

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