MEDICARE: DR. THOMAS DEAN FLANDERS DDS

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	1223G0001X	General Practice Dentistry	34629	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538137716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS DEAN FLANDERS DDS

Provider Business Mailing Address
First Line	:	225 PHOEBE LN
Second Line	:
City	:	DELHI
State	:	NY
Zip	:	13753-3468
Country	:	US
Telephone Number	:	607-746-3555
Fax Number	:	607-746-7795

Provider Business Practice Location Address
First Line	:	225 PHOEBE LN
Second Line	:
City	:	DELHI
State	:	NY
Zip	:	13753-3468
Country	:	US
Telephone Number	:	607-746-3555
Fax Number	:	607-746-7795

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/09/2007

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