Mr Thomas V Mcgowan, DMD is a
Dentist based in Challis, Idaho. Mr Thomas V Mcgowan is licensed to practice in Idaho (license number D1754) and his current practice location is
1150 12th St, Challis, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 879-2366.
NPI number for Mr Thomas V Mcgowan is 1104918440 and his current mailing address is Po Box 1040, 1150 12th St, Challis, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104918440.
Healthcare Provider's Profile
| Full Name | Mr Thomas V Mcgowan |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 1150 12th St, Challis, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104918440
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Thomas V Mcgowan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104918440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | D1754 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Thomas V Mcgowan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Thomas V Mcgowan, DMD
Po Box 1040, 1150 12th St,
Challis, ID 83226-1040
Ph: (208) 879-2366 | Mr Thomas V Mcgowan, DMD
1150 12th St,
Challis, ID 83226-1040
Ph: (208) 879-2366 |
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