# J MARK THOMAS DDS PC

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

## Provider details

- **NPI number:** 1972727857
- **Authorized official:** DR. J MARK THOMAS DDS (OWNER PRESIDENT OF CORPORATION)
- **Authorized official phone:** (812) 523-1860

## Contact information

- **Practice address:** 321 W BRUCE ST, SUITE A, SEYMOUR, IN 47274
- **Practice address phone:** (812) 523-1860
- **Mailing address:** PO BOX 324, 321 W BRUCE ST SUITE A, SEYMOUR, IN 47274
- **Mailing address phone:** (812) 523-1860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 54000667A | IN | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 08/22/2020
