Organization
JONATHON V. THOMAS, DDS
Active
Other names
Bedlam Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHON VAN THOMAS DDS (DENTIST)
(405) 224-1727
Entity
Organization
Contact information
Practice address
823 W CHICKASHA AVE, CHICKASHA, OK 73018-2307
(405) 224-1727
Mailing address
PO BOX 340, CHICKASHA, OK 73023-0340
(405) 224-1727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5295
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091680A
—
OK
Enumeration date
05/23/2007
Last updated
12/05/2012
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