MEDICARE: THOMAS A FLODEN D.D.S.

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	7071	IA

General Provider Information

NPI Number	:	1073788485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS A FLODEN D.D.S.

Provider Business Mailing Address
First Line	:	1160 BRIARSTONE DR
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-4638
Country	:	US
Telephone Number	:	641-423-3225
Fax Number	:

Provider Business Practice Location Address
First Line	:	1160 BRIARSTONE DR
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-4638
Country	:	US
Telephone Number	:	641-423-3225
Fax Number	:

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

Provider Enumeration Date	:	04/25/2008
Last Update Date	:	04/25/2008

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Directions to “ THOMAS A FLODEN D.D.S.” Practice Location

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