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NPI Code Detail

MEDICARE: THOMAS C. REINHART, D.D.S., P.A.

MEDICARE: THOMAS C. REINHART, D.D.S., P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0300XPeriodonticsDN8757FL

General Provider Information

NPI Number : 1093115388
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMAS C. REINHART, D.D.S., P.A.
Provider Business Mailing Address
First Line : 4450 E FLETCHER AVE STE B
Second Line :
City : TAMPA
State : FL
Zip : 33613-4907
Country : US
Telephone Number : 813-972-5560
Fax Number : 813-972-5665
Provider Business Practice Location Address
First Line : 4450 E FLETCHER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33613-4907
Country : US
Telephone Number : 813-972-5560
Fax Number : 813-972-5665
Authorized Official
Title or Position : PERIODONTIST
Name : DR. THOMAS REINHART
Credential : D.D.S.
Telephone Number : 813-972-5560
Provider Enumeration Date : 08/25/2014
Last Update Date : 08/25/2014

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Directions to “THOMAS C. REINHART, D.D.S., P.A. ” Practice Location

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