Individual
DR. GREGORY JAMES THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
29427 RYAN RD, WARREN, MI 48092-2203
(586) 755-9340
(586) 755-1081
Mailing address
29425 RYAN RD, WARREN, MI 48092-2203
(586) 755-9340
(586) 755-9341
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901013883
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2901013883
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970E07680
BLUE CROSS PIN
MI
Enumeration date
06/07/2006
Last updated
08/10/2015
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