Individual
DR. THOMAS NELSON PARE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3152 PEREGRINE DR NE STE 200, GRAND RAPIDS, MI 49525-9723
(616) 447-3660
Mailing address
3152 PEREGRINE DR NE STE 200, GRAND RAPIDS, MI 49525-9723
(616) 447-3660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600864
MI
122300000X
Dentist
DGD.4560 GD
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4650
—
SC
Enumeration date
08/06/2009
Last updated
02/05/2026
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