Individual
DR. GARY ALLEN THOMAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1220 E HOME RD, SPRINGFIELD, OH 45503-2728
(937) 399-7823
Mailing address
1220 E HOME RD, SPRINGFIELD, OH 45503-2728
(937) 399-7823
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16835
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0489761
—
OH
Enumeration date
08/19/2005
Last updated
07/08/2007
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