Organization
JONATHON V. THOMAS, DDS,PC
Active
Other names
Bedlam Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN K THOMAS (CO-OWNER/OFFICE MANAGER)
(405) 247-7676
Entity
Organization
Contact information
Practice address
310 SE 11TH ST, ANADARKO, OK 73005-4446
(405) 247-7676
(405) 247-1153
Mailing address
PO BOX 338, ANADARKO, OK 73005-0338
(405) 247-7676
(405) 247-1153
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
10/15/2006
Last updated
08/12/2009
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