MEDICARE: W. THOMAS HUTCHINS, JR. D.D.S., PA.

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	3797	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780853911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	W. THOMAS HUTCHINS, JR. D.D.S., PA.

Provider Business Mailing Address
First Line	:	1307 E MILLBROOK RD
Second Line	:	SUITE 108-C
City	:	RALEIGH
State	:	NC
Zip	:	27609-5476
Country	:	US
Telephone Number	:	919-876-8010
Fax Number	:	919-876-1163

Provider Business Practice Location Address
First Line	:	1307 E MILLBROOK RD
Second Line	:	SUITE 108-C
City	:	RALEIGH
State	:	NC
Zip	:	27609-5476
Country	:	US
Telephone Number	:	919-876-8010
Fax Number	:	919-876-1163

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	TRESSA ANN STALLINGS
Credential	:
Telephone Number	:	919-876-8010

Provider Enumeration Date	:	02/21/2008
Last Update Date	:	02/21/2008

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