Individual
DR. SCOTT L. THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
800 COMPTON RD, SUITE 20, CINCINNATI, OH 45231-3826
(513) 521-0110
(513) 728-4093
Mailing address
800 COMPTON RD, SUITE 20, CINCINNATI, OH 45231-3826
(513) 521-0110
(513) 728-4093
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17036
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000381323
ANTHEM MEDICAL
OH
Enumeration date
10/13/2006
Last updated
07/08/2007
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