Organization
TOM HONAKER DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS HONAKER DDS (SOLE MEMBER)
(304) 327-2471
Entity
Organization
Contact information
Practice address
1717 JEFFERSON ST, BLUEFIELD, WV 24701-4013
(304) 327-2471
Mailing address
1717 JEFFERSON ST, BLUEFIELD, WV 24701-4013
(304) 327-2471
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3544
WV DENTAL LICENSE
WV
Enumeration date
11/11/2019
Last updated
11/11/2019
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