Quillin, Thomas Edward

Quillin, Thomas Edward is an sole proprietor health care provider with primary practice located at 3238 4Th St N , St. Petersburg FL 33704. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Quillin, Thomas Edward can be contacted via phone (727) 388-3429.

Contact Information

Primary practice address
3238 4Th St N St. Petersburg FL 33704
Phone: (727) 388-3429
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN0012638 Florida

Profile Details

NPI number 1699889063
LBN Legal business name Quillin, Thomas Edward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
Last updated Dec 30th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699889063 NPPES
Florida MEDICAID 337025201

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