MEDICARE: DR. THOMAS HE DDS

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	052906	NY

General Provider Information

NPI Number	:	1386860401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS HE DDS

Provider Business Mailing Address
First Line	:	4279 78TH ST
Second Line	:
City	:	ELMHURST
State	:	NY
Zip	:	11373-2953
Country	:	US
Telephone Number	:	718-651-2768
Fax Number	:

Provider Business Practice Location Address
First Line	:	612 60TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-4101
Country	:	US
Telephone Number	:	718-567-8283
Fax Number	:

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

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	06/20/2008

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