Lavery, Thomas Joseph

Lavery, Thomas Joseph is an individual health care provider with primary practice located at 2333 N 6Th St , Grand Junction CO 81501-2001. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lavery, Thomas Joseph can be contacted via phone (970) 298-1782.

Contact Information

Primary practice address
2333 N 6Th St Grand Junction CO 81501-2001
Fax: (970) 298-1726
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 106300 Colorado

Profile Details

NPI number 1265653505
LBN Legal business name Lavery, Thomas Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated May 11th, 2020 - about 5 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 1265653505 NPPES
Colorado MEDICAID 46171738

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