Healthcare Provider Details

I. General information

NPI: 1386639607
Provider Name (Legal Business Name): JOHN A THOMAS DDS, MS, D.ABDSM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3505 AUSTIN BLUFFS PKWY STE 215
COLORADO SPRINGS CO
80918-5754
US

IV. Provider business mailing address

3505 AUSTIN BLUFFS PKWY STE 215
COLORADO SPRINGS CO
80918-5754
US

V. Phone/Fax

Practice location:
  • Phone: 210-219-7146
  • Fax: 719-960-0689
Mailing address:
  • Phone: 210-219-7146
  • Fax: 719-960-0689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number7366
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: