Individual
DR. TIMOTHY RAY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5120 VIRGINIA WAY, SUITE B-12, BRENTWOOD, TN 37027-7515
(615) 373-0883
Mailing address
5120 VIRGINIA WAY, SUITE B-12, BRENTWOOD, TN 37027-7515
(615) 373-0883
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS3177
TN
Other
Enumeration date
11/02/2005
Last updated
04/23/2015
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