Dunavant, Thomas Russell

Dunavant, Thomas Russell is an individual health care provider with primary practice located at 6400 Cobbs Dr Suite 200, Waco TX 76710-2571. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Dunavant, Thomas Russell can be contacted via phone (254) 776-1500.

Contact Information

Primary practice address
6400 Cobbs Dr Suite 200 Waco TX 76710-2571
Phone: (254) 776-1500
Fax: (254) 776-1500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 20869 Texas

Profile Details

NPI number 1235219700
LBN Legal business name Dunavant, Thomas Russell
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 18 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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