Individual
THOMAS P MCCONNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6113 LAKESIDE AVE, RICHMOND, VA 23228-5236
(804) 262-9824
Mailing address
6113 LAKESIDE AVE, RICHMOND, VA 23228-5236
(804) 262-9824
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418030
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/13/2017
Last updated
04/18/2023
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