Organization
JEFFERY R. THOMAS, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY R THOMAS (PRESIDENT)
(252) 633-1631
Entity
Organization
Contact information
Practice address
2808 VILLAGE WAY, TRENT WOODS, NC 28562-7305
(252) 633-1631
(252) 633-3922
Mailing address
2808 VILLAGE WAY, TRENT WOODS, NC 28562-7305
(252) 633-1631
(252) 633-3922
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
PA#131486
NC
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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