Individual
DAVID LEE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
871 BROAD ST, SUMMERSVILLE, WV 26651-1756
(304) 872-2771
(304) 872-2771
Mailing address
871 BROAD ST, SUMMERSVILLE, WV 26651-1756
(304) 872-2771
(304) 872-2771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2445
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136334000
—
WV
Enumeration date
10/23/2006
Last updated
09/27/2011
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