Individual
DR. THOMAS M MOHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
114 1/2 EAST MONROE STREET, PLEASANTVILLE, IA 50225-0237
(515) 848-3691
(515) 848-3692
Mailing address
PO BOX 237, 114 1/2 EAST MONROE STREET, PLEASANTVILLE, IA 50225-0237
(515) 848-3691
(515) 848-3692
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6420
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160234
—
IA
01
—
16023
BC/BS FEP ID
IA
01
—
160234
DELTA DENTAL ID
IA
01
—
856001
UCCI ID
IA
Enumeration date
10/25/2006
Last updated
07/09/2007
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