Thomas, Gary Allen
Thomas, Gary Allen is an individual health care provider with primary practice located at 1220 E Home Rd , Springfield OH 45503-2728. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Thomas, Gary Allen can be contacted via phone (937) 399-7823.Contact Information
Primary practice address
1220 E Home Rd
Springfield OH 45503-2728
Phone: (937) 399-7823
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 16835 | Ohio |
Profile Details
NPI number | 1679565212 |
---|---|
LBN Legal business name | Thomas, Gary Allen |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 19th, 2005 |
Last updated | Jul 8th, 2007 - about 18 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 | 1679565212 | NPPES |
Ohio | MEDICAID | 0489761 |
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