David E Thomas, Dds Pa | |
616 S 10th Ave Caldwell ID 83605-4112 | |
(208) 454-0473 | |
(208) 454-2633 |
Full Name | David E Thomas, Dds Pa |
---|---|
Speciality | Dentist - General Practice |
Location | 616 S 10th Ave, Caldwell, Idaho |
Authorized Official Name and Position | Marie Clark (OFFICE MANAGER) |
Authorized Official Contact | 2084540473 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
David E Thomas, Dds Pa 616 S 10th Ave Caldwell ID 83605-4112 Ph: (208) 454-0473 | David E Thomas, Dds Pa 616 S 10th Ave Caldwell ID 83605-4112 Ph: (208) 454-0473 |
NPI Number | 1366602773 |
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Provider Enumeration Date | 06/10/2008 |
Last Update Date | 06/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366602773 | NPI | - | NPPES |
022470 | Medicaid | OR | |
002768200 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D-1857 (Idaho) | Primary |
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