Southard, Thomas Edward
Southard, Thomas Edward is an individual health care provider with primary practice located at 322 S Dental Science Bldg , Iowa City IA 52242-1001. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Southard, Thomas Edward can be contacted via phone (319) 335-7440.Contact Information
Primary practice address
322 S Dental Science Bldg
Iowa City IA 52242-1001
Phone: (319) 335-7440
Fax: (319) 335-7451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 08268 | Iowa |
Profile Details
| NPI number | 1699879692 |
|---|---|
| LBN Legal business name | Southard, Thomas Edward |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699879692 | NPPES |
| Iowa | MEDICAID | 0067546 |
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