Brent Thomas Dmd Pa

LBN: Brent Thomas Dmd Pa
Brent Thomas Dmd Pa is an health care organization with primary practice located at 1805 Mission 66 , Vicksburg MS 39180-3709. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Brent Thomas Dmd Pa can be contacted via phone (601) 638-2361, or through Thomas, Charles Brent via phone (601) 638-2361.

Contact Information

Primary practice address
1805 Mission 66 Vicksburg MS 39180-3709
Phone: (601) 638-2361
Fax: (601) 634-0864
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Charles Brent Doctor of Dental Medicine (DMD)
Phone: (601) 638-2361

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 195381 Mississippi

Profile Details

NPI number 1306190285
LBN Legal business name Brent Thomas Dmd Pa
DBA Doing business as
Authorized official Thomas, Charles Brent Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2012
Last updated Oct 31st, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306190285 NPPES
Mississippi Other 1649492695 NPI INDIVIDUAL

Popular Providers