| Reggie D. Thomas, Dmd, Inc. | |
|
2109 W Washington St Broken Arrow OK 74012-6801 | |
| (918) 455-0123 | |
| (918) 455-2311 |
| Full Name | Reggie D. Thomas, Dmd, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2109 W Washington St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Veronica J. Thomas (OFFICE MANAGER) |
| Authorized Official Contact | 9184550123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reggie D. Thomas, Dmd, Inc. 2109 W Washington St Broken Arrow OK 74012-6801 Ph: (918) 455-0123 | Reggie D. Thomas, Dmd, Inc. 2109 W Washington St Broken Arrow OK 74012-6801 Ph: (918) 455-0123 |
| NPI Number | 1629242573 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629242573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4739 (Oklahoma) | Primary |
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