Thomas, Philip John
Thomas, Philip John is an individual health care provider with primary practice located at 5 Doctor Cir , Longview TX 75605-5050. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Thomas, Philip John can be contacted via phone (903) 758-6406.Contact Information
Primary practice address
5 Doctor Cir
Longview TX 75605-5050
Phone: (903) 758-6406
Fax: (903) 758-8116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 13954 | Texas |
Profile Details
| NPI number | 1104951284 |
|---|---|
| LBN Legal business name | Thomas, Philip John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| 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 | 1104951284 | NPPES |
| Texas | MEDICAID | 0905552301 |
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