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NPI Code Detail

MEDICARE: DR. THOMAS PETER COLLINS DDS

MEDICARE:  DR. THOMAS PETER COLLINS  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
1122300000XDentist15410OH

General Provider Information

NPI Number : 1508867342
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS PETER COLLINS DDS
Provider Business Mailing Address
First Line : 1303 W MAPLE ST
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-2858
Country : US
Telephone Number : 330-497-7999
Fax Number : 330-497-1089
Provider Business Practice Location Address
First Line : 1303 W MAPLE ST
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-2858
Country : US
Telephone Number : 330-497-7999
Fax Number : 330-497-1089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 07/08/2007

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Directions to “ DR. THOMAS PETER COLLINS DDS” Practice Location

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