Thomas, Terry M

Thomas, Terry M is an sole proprietor health care provider with primary practice located at 9714 3Rd Ave Ne Suite 204, Seattle WA 98115-2046. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Thomas, Terry M can be contacted via phone (206) 523-1834.

Contact Information

Primary practice address
9714 3Rd Ave Ne Suite 204 Seattle WA 98115-2046
Fax: (206) 523-3846
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DE00004140 Washington

Profile Details

NPI number 1205979309
LBN Legal business name Thomas, Terry M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
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 1205979309 NPPES
Washington MEDICAID 5541008

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