Hebda, Thomas Walter

Hebda, Thomas Walter is an individual health care provider with primary practice located at 7730 N Union Blvd Suite 103, Colorado Springs CO 80920-4084. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Hebda, Thomas Walter can be contacted via phone (719) 590-1500.

Contact Information

Primary practice address
7730 N Union Blvd Suite 103 Colorado Springs CO 80920-4084
Phone: (719) 590-1500
Fax: (719) 590-9379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 105579 Colorado

Profile Details

NPI number 1306831466
LBN Legal business name Hebda, Thomas Walter
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306831466 NPPES
Colorado MEDICAID 04019899

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