Thomas R Douglas is a Dentist in Nesconset, New York. Thomas R Douglas practices all healthcare services and medical treatments related to Dentist. The NPI Number for Thomas R Douglas is 1023114071. The last update date is 2007-07-08.
Thomas R Douglas's current location address is 308 Gibbs Pond Rd, Nesconset, New York. You can contact this provider via phone number 6315853130 and fax number 6315853136. The mailing address for Thomas R Douglas is 308 Gibbs Pond Rd, Nesconset, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas R Douglas |
|---|---|
| Address | 308 Gibbs Pond Rd, Nesconset, New York |
| Phone Number | 6315853130 |
| Fax Number | 6315853136 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1023114071 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 308 Gibbs Pond Rd |
|---|---|
| City | Nesconset |
| State | New York (NY) |
| Post Code | 117672200 |
| Phone Number | 6315853130 |
| Fax Number | 6315853136 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | NY0477140 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code assigned to Thomas R Douglas by the Centers for Medicare & Medicaid Services?
The Thomas R Douglas has been issued the NPI (National Provider Identifier) 1023114071, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Thomas R Douglas located?
The Thomas R Douglas is located at 308 Gibbs Pond Rd, Nesconset, NY 117672200.
What is Thomas R Douglas's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thomas R Douglas's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When did Thomas R Douglas receive its 1023114071 assignment?
The Thomas R Douglas was assigned its 1023114071 on 2006-09-16, which is the date when this unique identifier was issued to the organization.
When was the information regarding Thomas R Douglas most recently updated?
The details pertaining to the Thomas R Douglas, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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