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
Phone: (970) 298-1782
Fax: (970) 298-1726
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265653505 | NPPES |
Colorado | MEDICAID | 46171738 |
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