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NPI Code Detail

MEDICARE: DR. THOMAS D MARSDEN DDS

MEDICARE:  DR. THOMAS D MARSDEN  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
11223G0001XGeneral Practice Dentistry14662TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1752053696OTHERTXTAX ID
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3025963OTHERTXAETNA ID

General Provider Information

NPI Number : 1437126919
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS D MARSDEN DDS
Provider Business Mailing Address
First Line : 2019 W BEAUREGARD AVE
Second Line :
City : SAN ANGELO
State : TX
Zip : 76901-3812
Country : US
Telephone Number : 325-655-8992
Fax Number : 325-942-9088
Provider Business Practice Location Address
First Line : 2019 W BEAUREGARD AVE
Second Line :
City : SAN ANGELO
State : TX
Zip : 76901-3812
Country : US
Telephone Number : 325-655-8992
Fax Number : 325-942-9088
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2006
Last Update Date : 02/03/2016

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Directions to “ DR. THOMAS D MARSDEN DDS” Practice Location

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