Organization
DAVID E THOME DDS PLLC I
Active
Other names
Shelby Pediatric Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LUCENDA HARRIS (CREDENTIALING AND CONTRACTING COORD)
(980) 729-5200
Entity
Organization
Contact information
Practice address
221 SIMPSON PARK RD, SHELBY, NC 28150-4299
(704) 484-3366
Mailing address
221 SIMPSON PARK RD, SHELBY, NC 28150-4299
(704) 484-3366
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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