Healthcare Provider Details

I. General information

NPI: 1134520067
Provider Name (Legal Business Name): THOME & CASHER DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2014
Last Update Date: 09/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 E MORGAN ST
WADESBORO NC
28170-2202
US

IV. Provider business mailing address

8303 UNIVERSITY EXEC PARK DR SUITE 430
CHARLOTTE NC
28262-3356
US

V. Phone/Fax

Practice location:
  • Phone: 704-695-1588
  • Fax:
Mailing address:
  • Phone: 704-604-0353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: REBEKAH TAYLOR
Title or Position: VP OF OPERATIONS
Credential:
Phone: 704-604-0353