Individual
DR. THOMAS JOHN GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
418 10TH AVE., CORALVILLE, IA 52241-2364
(319) 351-6611
Mailing address
418 10TH AVE, BOX 5125, CORALVILLE, IA 52241-2364
(319) 351-6611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6585
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003335
T-19
IA
Enumeration date
12/15/2006
Last updated
07/08/2007
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