Individual
PRIYA M THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1121 W MICHIGAN STEET, DS307B, INDIANAPOLIS, IN 46202-5186
(317) 278-3632
(317) 274-2603
Mailing address
1121 W MICHIGAN STREET, DS307B, INDIANAPOLIS, IN 46202-5186
(317) 278-3632
(317) 274-2603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011041A
IN
122300000X
Dentist
2901019059
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200883520
—
IN
Enumeration date
05/12/2006
Last updated
04/17/2015
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