Larry Wilson Thomas in Creve Coeur - Pediatric Dentistry
Larry Wilson Thomas - NPI 1033226543
Larry Wilson Thomas is a Pediatric Dentistry in Creve Coeur, Missouri. Larry Wilson Thomas practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Larry Wilson Thomas is 1033226543. The last update date is 2007-07-08.
Larry Wilson Thomas's current location address is 11709 Old Ballas Rd, Creve Coeur, Missouri. You can contact this provider via phone number 3148728590 and fax number 3148723523. The mailing address for Larry Wilson Thomas is 11709 Old Ballas Rd, Creve Coeur, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Wilson Thomas |
|---|---|
| Address | 11709 Old Ballas Rd, Creve Coeur, Missouri |
| Phone Number | 3148728590 |
| Fax Number | 3148723523 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1033226543 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11709 Old Ballas Rd |
|---|---|
| City | Creve Coeur |
| State | Missouri (MO) |
| Post Code | 631417029 |
| Phone Number | 3148728590 |
| Fax Number | 3148723523 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 13698 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the Larry Wilson Thomas's unique identification number?
The Larry Wilson Thomas has been assigned the NPI (National Provider Identifier) Number 1033226543 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Larry Wilson Thomas?
The Larry Wilson Thomas is situated at 11709 Old Ballas Rd, in the city of Creve Coeur, state of MO, with the zip code 631417029.
What is Larry Wilson Thomas's area of expertise and its corresponding taxonomy classification?
The Larry Wilson Thomas's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did the Larry Wilson Thomas receive its 1033226543 assignment from the Centers for Medicare & Medicaid Services?
The Larry Wilson Thomas was assigned its 1033226543 by the Centers for Medicare & Medicaid Services on 2006-08-23.
As of what date were the Larry Wilson Thomas's details last updated?
The information pertaining to the Larry Wilson Thomas, including its address, specialty, and other details, was most recently updated on 2007-07-08.