MEDICARE: THOMAS M MAJOR D.M.D., P.A.

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	SC 2939	SC

General Provider Information

NPI Number	:	1093864845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS M MAJOR D.M.D., P.A.

Provider Business Mailing Address
First Line	:	3515 BUSH RIVER RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29210-4805
Country	:	US
Telephone Number	:	803-798-0344
Fax Number	:

Provider Business Practice Location Address
First Line	:	3515 BUSH RIVER RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29210-4805
Country	:	US
Telephone Number	:	803-798-0344
Fax Number	:

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

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	07/08/2007

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