Organization
KATHERINE L. THOMAS, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE T THOMAS D.D.S. (KATHERINE L. THOMAS, D.D.S.)
(856) 784-9774
Entity
Organization
Contact information
Practice address
813 NEW BROOKLYN ERIAL RD, SICKLERVILLE, NJ 08081-3278
(856) 784-9774
(856) 784-9474
Mailing address
813 NEW BROOKLYN ERIAL RD, SICKLERVILLE, NJ 08081-3278
(856) 784-9774
(856) 784-9474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014280
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
676335
UNITED CONCORDIA
PA
01
—
9031
DELTA DENTAL PLAN OF NJ
NJ
Enumeration date
09/28/2006
Last updated
08/22/2020
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