Individual
DR. JEFFERY RAYMOND THOMAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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
NC4542
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8998406
—
NC
Enumeration date
05/10/2006
Last updated
07/08/2007
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