Individual
DR. JERRY DAVID THOMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
745 DAVIS ST, PRATTVILLE, AL 36067-5701
(334) 365-2991
(334) 365-2991
Mailing address
745 DAVIS ST, PRATTVILLE, AL 36067-5701
(334) 365-2991
(334) 365-2991
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2979
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009958965
—
AL
Enumeration date
12/06/2006
Last updated
10/10/2012
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