Organization
DAVID E THOME DDS PLLC II
Active
Other names
Mooresville Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LUCENDA HARRIS (CREDENTIALING & CONTRACTING COORDIN)
(980) 729-5200
Entity
Organization
Contact information
Practice address
202 WILLIAMSON RD, SUITE 200, MOORESVILLE, NC 28117-7610
(704) 360-8670
(704) 360-8675
Mailing address
PO BOX 746220, ATLANTA, GA 30374-6220
(704) 360-8670
(704) 360-8675
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NC
Other
Enumeration date
11/04/2013
Last updated
06/16/2021
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