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NPI Code Detail

MEDICARE: DR. JOHN A THOMAS D.D.S., M.S.

MEDICARE: DR. JOHN A THOMAS D.D.S., M.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
11223P0700XProsthodontics7366CO

General Provider Information

NPI Number : 1386639607
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN A THOMAS D.D.S., M.S.
Provider Business Mailing Address
First Line : 1867 MUCHACHA DR
Second Line :
City : HENDERSON
State : NV
Zip : 89014-4501
Country : US
Telephone Number : 210-219-7146
Fax Number :
Provider Business Practice Location Address
First Line : 4700 LAS VEGAS BLVD N
Second Line : SUITE 2419, BLDG 1300
City : NELLIS AFB
State : NV
Zip : 89191-6600
Country : US
Telephone Number : 702-653-2600
Fax Number : 702-653-2682
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 01/21/2016

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