Southard, Thomas Edward

Southard, Thomas Edward is an individual health care provider with primary practice located at 322 S Dental Science Bldg , Iowa City IA 52242-1001. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Southard, Thomas Edward can be contacted via phone (319) 335-7440.

Contact Information

Primary practice address
322 S Dental Science Bldg Iowa City IA 52242-1001
Phone: (319) 335-7440
Fax: (319) 335-7451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 08268 Iowa

Profile Details

NPI number 1699879692
LBN Legal business name Southard, Thomas Edward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Jul 8th, 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 1699879692 NPPES
Iowa MEDICAID 0067546

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