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NPI Code Detail

MEDICARE: DR. TINA MARIE THOMAS D.M.D.

MEDICARE:  DR. TINA MARIE THOMAS  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
11223G0001XGeneral Practice DentistryDN 14134FL

General Provider Information

NPI Number : 1790709368
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TINA MARIE THOMAS D.M.D.
Provider Business Mailing Address
First Line : 5935 US HIGHWAY 27 N
Second Line : SUITE 103
City : SEBRING
State : FL
Zip : 33870-1200
Country : US
Telephone Number : 863-382-0888
Fax Number : 863-382-6199
Provider Business Practice Location Address
First Line : 5935 US HIGHWAY 27 N
Second Line : SUITE 103
City : SEBRING
State : FL
Zip : 33870-1200
Country : US
Telephone Number : 863-382-0888
Fax Number : 863-382-6199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 05/31/2023

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Directions to “ DR. TINA MARIE THOMAS D.M.D.” Practice Location

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