Organization
J MARK THOMAS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J MARK THOMAS DDS (OWNER PRESIDENT OF CORPORATION)
(812) 523-1860
Entity
Organization
Contact information
Practice address
321 W BRUCE ST, SUITE A, SEYMOUR, IN 47274
(812) 523-1860
Mailing address
PO BOX 324, 321 W BRUCE ST SUITE A, SEYMOUR, IN 47274
(812) 523-1860
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54000667A
IN
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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