Individual
THOMAS JAMES FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4716 ILLINOIS RD STE 101, FORT WAYNE, IN 46804-5123
(260) 432-7970
Mailing address
6206 TREASURE CV, FORT WAYNE, IN 46835-9699
(260) 579-7349
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013443A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
06/22/2020
Last updated
07/13/2020
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