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Individual

DR. THOMAS M NUSSEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
40 SOUTH MAIN STREET, SMITHSBURG, MD 21783
(301) 824-2080
(301) 824-4252
Mailing address
PO BOX 246, 40 SOUTH MAIN STREET, SMITHSBURG, MD 21783
(301) 824-2080
(301) 824-4252

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12633MD
MD
122300000X
Dentist
DS03144PA
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
750681
UCCI
MD
Enumeration date
11/02/2006
Last updated
07/08/2007
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