Thomas, Gealon A

Thomas, Gealon A is an individual health care provider with primary practice located at 111 Peacock Ct , Seymour TN 37865-5086. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Thomas, Gealon A can be contacted via phone (865) 573-0274.

Contact Information

Primary practice address
111 Peacock Ct Seymour TN 37865-5086
Fax: (865) 577-0174
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS 4691 Tennessee

Profile Details

NPI number 1790895670
LBN Legal business name Thomas, Gealon A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 16th, 2015 - about 10 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 1790895670 NPPES
Tennessee Other 0076466 BCBS

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