Youngblood, Thomas A.

Youngblood, Thomas A. is an individual health care provider with primary practice located at 100 N N St , Midland TX 79701-6409. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Youngblood, Thomas A. can be contacted via phone (432) 682-1614.

Contact Information

Primary practice address
100 N N St Midland TX 79701-6409
Phone: (432) 682-1614
Fax: (432) 685-3405
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5620 Oklahoma
Dental Providers / Dentist 122300000X 21026 Texas

Profile Details

NPI number 1760542245
LBN Legal business name Youngblood, Thomas A.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Nov 30th, 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 1760542245 NPPES
Texas MEDICAID 1862898

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