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NPI Code Detail

MEDICARE: DR. THOMAS DEVLIN DDS

MEDICARE:  DR. THOMAS  DEVLIN  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
1122300000XDentist019026639IL

General Provider Information

NPI Number : 1598882045
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS DEVLIN DDS
Provider Business Mailing Address
First Line : 1339 N SUMTER BLVD
Second Line :
City : NORTH PORT
State : FL
Zip : 34286-8072
Country : US
Telephone Number : 941-876-4023
Fax Number : 941-876-4369
Provider Business Practice Location Address
First Line : 1339 N SUMTER BLVD
Second Line :
City : NORTH PORT
State : FL
Zip : 34286-8072
Country : US
Telephone Number : 941-876-4023
Fax Number : 941-876-4369
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 08/06/2020

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Directions to “ DR. THOMAS DEVLIN DDS” Practice Location

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