Individual
DR. THOMAS G. WILLINGHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
123 N CHALKVILLE RD, SUITE 1, TRUSSVILLE, AL 35173-2821
(205) 655-1000
Mailing address
123 N CHALKVILLE RD, SUITE 1, TRUSSVILLE, AL 35173-2821
(205) 655-1000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5379
AL
Other
Enumeration date
07/04/2006
Last updated
04/14/2015
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