MEDICARE: SINY R THOMAS DMD , PC

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	21463	TX

General Provider Information

NPI Number	:	1306141346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINY R THOMAS DMD , PC

Provider Business Mailing Address
First Line	:	736 HIGHWAY 6 STE 102
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-5103
Country	:	US
Telephone Number	:	281-240-2400
Fax Number	:

Provider Business Practice Location Address
First Line	:	736 HIGHWAY 6 STE 102
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-5103
Country	:	US
Telephone Number	:	281-240-2400
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SINY R THOMAS
Credential	:	DMD
Telephone Number	:	281-240-2400

Provider Enumeration Date	:	01/24/2011
Last Update Date	:	04/02/2012

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