Individual
DR. THOMAS BRYAN STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1112 GRACE STREET, GREENWOOD, SC 29649
(864) 223-9200
(864) 223-2429
Mailing address
1112 GRACE STREET, GREENWOOD, SC 29649
(864) 223-9200
(864) 223-2429
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2687
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z26874
—
SC
Enumeration date
10/26/2006
Last updated
07/08/2007
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