MEDICARE: DR. THOMAS GEORGE INMAN JR. 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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	30.027453	OH

General Provider Information

NPI Number	:	1881221729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS GEORGE INMAN JR. DDS

Provider Business Mailing Address
First Line	:	6580 KUGLER MILL RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2260
Country	:	US
Telephone Number	:	501-454-5524
Fax Number	:

Provider Business Practice Location Address
First Line	:	4820 RIDGE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45209-1054
Country	:	US
Telephone Number	:	513-233-7656
Fax Number	:	513-233-7657

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

Provider Enumeration Date	:	03/23/2020
Last Update Date	:	07/03/2024

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