MEDICARE: DR. W. THOMAS NORWOOD 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
1	1223G0001X	General Practice Dentistry	4100	NC

General Provider Information

NPI Number	:	1841224656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. W. THOMAS NORWOOD D.D.S.

Provider Business Mailing Address
First Line	:	311 S. MAIN ST.
Second Line	:	P.O. BOX 859
City	:	NORWOOD
State	:	NC
Zip	:	28128
Country	:	US
Telephone Number	:	704-474-3152
Fax Number	:	704-474-0274

Provider Business Practice Location Address
First Line	:	311 SOUTH MAIN ST.
Second Line	:
City	:	NORWOOD
State	:	NC
Zip	:	28128-0859
Country	:	US
Telephone Number	:	704-474-3152
Fax Number	:

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	07/08/2007

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