MEDICARE: ERIC V THOMAS DMD

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
1	122300000X	Dentist	22DI01803600	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1558357616	OTHER	NJ	TYPE 2 NPI

General Provider Information

NPI Number	:	1265660195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC V THOMAS DMD

Provider Business Mailing Address
First Line	:	209 S. MAIN STREET
Second Line	:
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210
Country	:	US
Telephone Number	:	609-536-9000
Fax Number	:	609-465-1603

Provider Business Practice Location Address
First Line	:	209 S. MAIN STREET
Second Line	:
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210
Country	:	US
Telephone Number	:	609-536-9000
Fax Number	:	609-465-1603

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2009
Last Update Date	:	12/02/2025

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