Kevin George Thomas, DDS | |
1101 N Providence Rd, Columbia, MO 65203-4365 | |
(573) 886-6741 | |
Not Available |
Full Name | Kevin George Thomas |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 1101 N Providence Rd, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720500655 | NPI | - | NPPES |
2017017287 | Other | MO | MISSOURI DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2017017287 (Missouri) | Primary |
Entity Name | Aria Dental Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942977632 PECOS PAC ID: 6406211895 Enrollment ID: O20230613003407 |
Mailing Address | Practice Location Address |
---|---|
Kevin George Thomas, DDS 1836 Lackland Hill Parkway, St. Louis, MO 63146 Ph: (314) 872-1439 | Kevin George Thomas, DDS 1101 N Providence Rd, Columbia, MO 65203-4365 Ph: (573) 886-6741 |
Nikesha Walters, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 Portland St, Columbia, MO 65201 Phone: 844-853-8937 | |
Dr. James W Andrews, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1000 W Nifong Blvd, Bldg 4 Ste 100, Columbia, MO 65203 Phone: 573-443-0466 Fax: 573-442-5417 | |
Dr. William Scott Robinson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1609 Chapel Hill Rd, Suite B, Columbia, MO 65203 Phone: 573-446-0700 Fax: 573-446-2652 | |
Jeanine Sasek, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1700 E Pointe Dr Ste 300, Columbia, MO 65201 Phone: 573-443-1525 Fax: 573-875-4834 | |
Tanisha Arya, DDS Dentist Medicare: Medicare Enrolled Practice Location: 303 N Keene St Ste 202, Columbia, MO 65201 Phone: 844-853-8937 | |
Dr. Bruce Edward Ringdahl, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 201 W Broadway, Columbia, MO 65203 Phone: 573-443-1618 | |
Dr. Jon G Rischer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1000 W Nifong Blvd, Bldg 8 Ste 120, Columbia, MO 65203 Phone: 573-874-8744 Fax: 573-499-4702 |