MEDICARE: DR. THOMAS CARNS 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	DE00004568	WA

General Provider Information

NPI Number	:	1437298866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS CARNS DDS

Provider Business Mailing Address
First Line	:	309 32ND AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-6329
Country	:	US
Telephone Number	:	206-322-6048
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 NE 97TH ST
Second Line	:	SUITE D
City	:	SEATTLE
State	:	WA
Zip	:	98115-2042
Country	:	US
Telephone Number	:	206-524-9550
Fax Number	:	206-528-5914

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

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	07/08/2007

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