Tomack, Justin Lewis

Tomack, Justin Lewis is an individual health care provider with primary practice located at 1725 S Main St Ste 101 , Wake Forest NC 27587-5012. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Tomack, Justin Lewis can be contacted via phone (919) 841-1720.

Contact Information

Primary practice address
1725 S Main St Ste 101 Wake Forest NC 27587-5012
Phone: (919) 841-1720
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN1858766 Massachusetts
Dental Providers / Periodontics 1223P0300X 12463 North Carolina

Profile Details

NPI number 1134746464
LBN Legal business name Tomack, Justin Lewis
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2020
Last updated Jun 4th, 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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