Thomas, Larry Wilson
Thomas, Larry Wilson is an sole proprietor health care provider with primary practice located at 11709 Old Ballas Rd Ste 200, Creve Coeur MO 63141-7029. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Thomas, Larry Wilson can be contacted via phone (314) 872-8590.Contact Information
Primary practice address
11709 Old Ballas Rd Ste 200
Creve Coeur MO 63141-7029
Phone: (314) 872-8590
Fax: (314) 872-3523
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 013698 | Missouri |
Profile Details
| NPI number | 1033226543 |
|---|---|
| LBN Legal business name | Thomas, Larry Wilson |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2006 |
| 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.
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