Thomas, Gary Allen

Thomas, Gary Allen is an individual health care provider with primary practice located at 1220 E Home Rd , Springfield OH 45503-2728. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Thomas, Gary Allen can be contacted via phone (937) 399-7823.

Contact Information

Primary practice address
1220 E Home Rd Springfield OH 45503-2728
Phone: (937) 399-7823
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 16835 Ohio

Profile Details

NPI number 1679565212
LBN Legal business name Thomas, Gary Allen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679565212 NPPES
Ohio MEDICAID 0489761

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