MEDICARE: DR. MICHAEL CHRISTOPHER TOMS 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	1223P0300X	Periodontics	30020471	OH

General Provider Information

NPI Number	:	1588716294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL CHRISTOPHER TOMS DDS

Provider Business Mailing Address
First Line	:	2745 ANDERSON FERRY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238
Country	:	US
Telephone Number	:	513-922-7300
Fax Number	:	513-922-7388

Provider Business Practice Location Address
First Line	:	2745 ANDERSON FERRY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238
Country	:	US
Telephone Number	:	513-922-7300
Fax Number	:	513-922-7388

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

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	07/08/2007

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