Reynolds, Thomas Jefferson
Reynolds, Thomas Jefferson is an individual health care provider with primary practice located at 1202 Martin Luther King Jr Way , Tacoma WA 98405-3926. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Reynolds, Thomas Jefferson can be contacted via phone (253) 441-4743.Contact Information
Primary practice address
1202 Martin Luther King Jr Way
Tacoma WA 98405-3926
Phone: (253) 441-4743
Fax: (253) 442-8840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 30022014 | Ohio |
| Dental Providers / Dentist | 122300000X | DN00000 | Florida |
| Dental Providers / Dentist | 122300000X | DE60192688 | Washington |
Profile Details
| NPI number | 1871567016 |
|---|---|
| LBN Legal business name | Reynolds, Thomas Jefferson |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Nov 12th, 2015 - about 9 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 | 1871567016 | NPPES |
| Florida | MEDICAID | 076805700 | |
| Florida | MEDICAID | 252130 |
Popular Providers
-
Tran, Huong
1202 Martin Luther King Jr Way , Tacoma WA 98405-3926 -
Merchant, Fahra
10518 S Tacoma Way Ste B , Tacoma WA 98499-5400 -
Greiwe, Stephen Paul
2614 N Adams St , Tacoma WA 98407-5826 -
Buttaro, Lisa L
6104 20Th St E Ste B , Tacoma WA 98424-2036 -
Phan, Khanhlam Kim
1202 Martin Luther King Jr Way , Tacoma WA 98405-3926 -
Yarbrough, Lisa
Us Army Dental Activity Jblm Bldg 9900 2Nd Floor , Tacoma WA 98431-0001 -
Dang, Tran Ngoc
3815 S M St , Tacoma WA 98418-3933 -
Hannula, David Richard
4146 6Th Ave , Tacoma WA 98406-4013