Organization
RONALD D. THOMAN DDS., PC.
Active
Other names
Oral and Maxillofacial Specialist PC.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD D THOMAN DDS (PRESIDENT)
(719) 590-1500
Entity
Organization
Contact information
Practice address
7730 N UNION BLVD, SUITE 103, COLORADO SPRINGS, CO 80920-4084
(719) 590-1500
(719) 590-9379
Mailing address
7730 N UNION BLVD, SUITE 103, COLORADO SPRINGS, CO 80920-4084
(719) 590-1500
(719) 590-9379
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6376
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04019899
—
CO
01
—
811466
MEDICARE ID-TYPE UNSPECIFIED
—
Enumeration date
07/31/2006
Last updated
06/20/2008
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