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NPI Code Detail

MEDICARE: DR. THOMAS A THURSTON D.M.D.

MEDICARE:  DR. THOMAS A THURSTON  D.M.D.
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
11223X0400XOrthodontics and Dentofacial Orthopedics DentistryMT1975MT

General Provider Information

NPI Number : 1235281403
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS A THURSTON D.M.D.
Provider Business Mailing Address
First Line : 125 COMMONS WAY # 1
Second Line :
City : KALISPELL
State : MT
Zip : 59901-1900
Country : US
Telephone Number : 406-752-3737
Fax Number :
Provider Business Practice Location Address
First Line : 125 COMMONS WAY # 1
Second Line :
City : KALISPELL
State : MT
Zip : 59901-1900
Country : US
Telephone Number : 406-752-3737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 07/08/2007

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Directions to “ DR. THOMAS A THURSTON D.M.D.” Practice Location

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