Individual
KATHERINE L THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
813 NEW BROOKLYN ERIAL RD, SUITE 1, SICKLERVILLE, NJ 08081-3278
(856) 784-9774
(856) 784-9474
Mailing address
813 NEW BROOKLYN ERIAL RD, SUITE 1, SICKLERVILLE, NJ 08081-3278
(856) 784-9774
(856) 784-9474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D101428000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
676335
UNITED CONCORDIA
PA
01
—
9031
DELTA DENTAL PLAN OF NJ
NJ
Enumeration date
09/20/2006
Last updated
07/08/2007
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