Individual
DR. NEIL A THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
41049 ANN ARBOR RD E, PLYMOUTH, MI 48170-4478
(734) 459-0326
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 327-3041
(708) 327-3489
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.032173
IL
261QS1000X
Student Health Clinic/Center
019.032173
IL
Other
Enumeration date
03/21/2019
Last updated
06/14/2023
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