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NPI Code Detail

MEDICARE: DR. THOMAS M. MONKS D.D.S.

MEDICARE:  DR. THOMAS M. MONKS  D.D.S.
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
11223G0001XGeneral Practice Dentistry12248MI

General Provider Information

NPI Number : 1760551246
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS M. MONKS D.D.S.
Provider Business Mailing Address
First Line : 1100 W UNIVERSITY DR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-1878
Country : US
Telephone Number : 248-651-3317
Fax Number : 248-651-8533
Provider Business Practice Location Address
First Line : 1100 W UNIVERSITY DR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-1878
Country : US
Telephone Number : 248-651-3317
Fax Number : 248-651-8533
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 07/08/2007

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Directions to “ DR. THOMAS M. MONKS D.D.S.” Practice Location

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