Individual
DR. THOMAS J HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5560 GRATIOT RD, SUITE 1, SAGINAW, MI 48638-6091
(989) 401-6591
(989) 401-6591
Mailing address
5560 GRATIOT RD, SUITE 1, SAGINAW, MI 48638-6091
(989) 401-6591
(989) 401-6596
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901014309
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D5962
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1725138
—
MI
05
—
2983431
—
MI
Enumeration date
12/13/2006
Last updated
03/09/2015
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