Individual
DR. THOMAS GLENN ISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8966 RUFFIAN LN, NEWBURGH, IN 47630-3424
(812) 490-8070
(812) 490-8072
Mailing address
8966 RUFFIAN LN, NEWBURGH, IN 47630-3424
(812) 490-8070
(812) 490-8072
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12010534A
IN
Other
Enumeration date
10/18/2005
Last updated
02/14/2023
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