Thomson, Deric D
Thomson, Deric D is an individual health care provider with primary practice located at 63 Forest Edge Dr , Saint Johns FL 32259-7311. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck. Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck is his primary health care specialty. Thomson, Deric D can be contacted via phone (404) 759-4507.Contact Information
Primary practice address
63 Forest Edge Dr
Saint Johns FL 32259-7311
Phone: (404) 759-4507
Fax: (386) 438-5812
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN24343 | Florida |
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck | 2082S0099X | 38404 | Florida |
Profile Details
NPI number | 1801353941 |
---|---|
LBN Legal business name | Thomson, Deric D |
Credentials | MD, DMD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 25th, 2019 |
Last updated | Jul 24th, 2023 - about 2 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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