# KENNETH D. THOMAS, DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154920106
- **Authorized official:** VICKI THOMAS (OFFICE MANAGER)
- **Authorized official phone:** (248) 892-0001

## Contact information

- **Practice address:** 6080 DIXIE HWY STE A, CLARKSTON, MI 48346-3493
- **Practice address phone:** (248) 623-4990
- **Mailing address:** 6080 DIXIE HWY STE A, CLARKSTON, MI 48346-3493
- **Mailing address phone:** (248) 623-4990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/21/2020
- **Last updated:** 10/21/2020