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THOMAS DENTAL OFFICE PC NPI 1285896530


NPI Information

NPI: 1285896530
Provider Name: THOMAS DENTAL OFFICE PC

Other Name: CORNELL THOMAS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3737 N KINGSHIGHWAY BLVD
SUITE 108
SAINT LOUIS, MO
ZIP 63115
Phone: (314) 389-7722
Get Directions

THOMAS DENTAL OFFICE PC is a general practice dentist in Saint Louis, MO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. THOMAS DENTAL OFFICE PC NPI is 1285896530. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Cornell Thomas.

The provider's business location address is:

3737 N KINGSHIGHWAY BLVD
SUITE 108
SAINT LOUIS, MO
ZIP 63115-736
Phone: (314) 389-7722

The provider's authorized official is Dorothy J Deavault .
The authorized official title is Dental Assistant and has the following contact phone number (314) 389-9990.

The enumeration date for this NPI number is 6/27/2008 and was last updated on 6/27/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice12970MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1400519328MEDICAIDMISSOURI
2002362OTHERWISCONSINDORAL DENTAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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