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Organization
JACK B. THIGPEN, III, DMD, PA
Active
Organization
JACK B. THIGPEN, III, DMD, PA
Active
Other names
West Coast Center For Jaw Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA L. COLBURN BIRD (PRACTICE MANAGER)
(813) 926-5989
Entity
Organization
Contact information
Practice address
10850 SHELDON RD, TAMPA, FL 33626-5117
(813) 926-5989
(813) 926-0790
Mailing address
10850 SHELDON RD, TAMPA, FL 33626-5117
(813) 926-5989
(813) 926-0790
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/13/2012
Last updated
05/04/2012
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