MEDICARE: DR. RICHARD MORRIS THOMAS JR. D.M.D.

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	11886	GA

General Provider Information

NPI Number	:	1477557262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD MORRIS THOMAS JR. D.M.D.

Provider Business Mailing Address
First Line	:	300 BULL ST
Second Line	:	STE 301
City	:	SAVANNAH
State	:	GA
Zip	:	31401-4317
Country	:	US
Telephone Number	:	912-234-1944
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 BULL ST
Second Line	:	STE 301
City	:	SAVANNAH
State	:	GA
Zip	:	31401-4317
Country	:	US
Telephone Number	:	912-234-1944
Fax Number	:

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/08/2007

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