Individual
DR. ALLYN M THAMES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
719 N DEAN RD, AUBURN, AL 36830-6622
(334) 501-7000
(334) 501-7062
Mailing address
719 N DEAN RD, AUBURN, AL 36830-6622
(334) 501-7000
(334) 501-7062
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
AL5350
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1899210
UNITED CONCORDIA
AL
01
—
51537178
BCBS OF AL PROV NUMBER
AL
01
—
AL5350
AL LICENSE NUMBER
AL
Enumeration date
10/27/2006
Last updated
01/17/2017
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