Individual
DR. JEFFREY RAY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
301 JEWETT, MARSHALL, MN 56258
(507) 537-9667
(507) 537-9862
Mailing address
301 JEWETT, MARSHALL, MN 56258
(507) 537-9667
(507) 537-9862
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MN8824
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3B315TH
BCBS
MN
01
—
811458
UNITED CONCORDIA
MN
Enumeration date
08/29/2006
Last updated
07/08/2007
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