Organization
THOMAS W WATKINS DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS W WATKINS DDS (MEMBER)
(812) 339-4400
Entity
Organization
Contact information
Practice address
839 S AUTO MALL RD, SUITE F, BLOOMINGTON, IN 47401-5484
(812) 339-4400
(812) 323-2230
Mailing address
839 S AUTO MALL RD, SUITE F, BLOOMINGTON, IN 47401-5484
(812) 339-4400
(812) 323-2230
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12007821
IN
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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