Individual
GEALON A THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 PEACOCK CT, SEYMOUR, TN 37865-5086
(865) 573-0274
(865) 577-0174
Mailing address
111 PEACOCK CT, SEYMOUR, TN 37865-5086
(865) 573-0274
(865) 577-0174
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS 4691
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076466
BCBS
TN
Enumeration date
08/30/2006
Last updated
06/16/2015
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