Individual
THOMAS MICHAEL KREGER
Active
Individual
THOMAS MICHAEL KREGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5279
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D6026
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024238
UNITED CONCORDIA
WA
01
—
180320764
CENTRAL CONTRACTOR REGIST
WA
01
—
5922
WASHINGTON DENTAL SERVICE
WA
Enumeration date
07/25/2006
Last updated
11/14/2008
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