Collins, Thomas A
Collins, Thomas A is an individual health care provider with primary practice located at 1103 E Montclair St Suite 100, Springfield MO 65807-5076. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Collins, Thomas A can be contacted via phone (417) 887-8800.Contact Information
Primary practice address
1103 E Montclair St Suite 100
Springfield MO 65807-5076
Phone: (417) 887-8800
Fax: (417) 887-6265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 015066 | Missouri |
Profile Details
| NPI number | 1831184423 |
|---|---|
| LBN Legal business name | Collins, Thomas A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1831184423 | NPPES |
| Other | 11922 | BC/S DENTAL | |
| Other | 15055 | BC/S DENTAL | |
| Other | 15440 | BC/S DENTAL | |
| Other | 15440 | BC/S DENTAL | |
| Other | 159046 | BC/S DENTAL |
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