MEDICARE: THOMAS A SWITZER DDS PC

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	12549	MO

General Provider Information

NPI Number	:	1730283318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS A SWITZER DDS PC

Provider Business Mailing Address
First Line	:	100 N EUCLID
Second Line	:	SUITE 603
City	:	ST LOUIS
State	:	MO
Zip	:	63108-1529
Country	:	US
Telephone Number	:	314-361-3100
Fax Number	:	314-361-0030

Provider Business Practice Location Address
First Line	:	100 N EUCLID
Second Line	:	SUITE 603
City	:	ST LOUIS
State	:	MO
Zip	:	63108-1529
Country	:	US
Telephone Number	:	314-361-3100
Fax Number	:	314-361-0030

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. THOMAS A SWITZER
Credential	:	DDS
Telephone Number	:	314-361-3100

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	08/22/2020

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