Kimberly Thomas in Philadelphia - Pediatric Dentistry

Kimberly Thomas - NPI 1285628040

Kimberly Thomas is a Pediatric Dentistry in Philadelphia, Pennsylvania. Kimberly Thomas practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kimberly Thomas is 1285628040. The last update date is 2012-03-29.

Kimberly Thomas's current location address is 6404 Roosevelt Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157433700 and fax number 2157433706. The mailing address for Kimberly Thomas is 6404 Roosevelt Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly Thomas
Address 6404 Roosevelt Blvd, Philadelphia, Pennsylvania
Phone Number 2157433700
Fax Number 2157433706
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1285628040
Provider Enumeration Date 2005-09-08
Last Updated Date 2012-03-29

Provider Mailing Address Detail

Address 6404 Roosevelt Blvd
City Philadelphia
State Pennsylvania (PA)
Post Code 191492943
Phone Number 2157433700
Fax Number 2157433706

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No DS029815L
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1963800 PA --

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FAQs about Kimberly Thomas

What is the unique identification code assigned to Kimberly Thomas by the Centers for Medicare & Medicaid Services?

The Kimberly Thomas has been issued the NPI (National Provider Identifier) 1285628040. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kimberly Thomas's facilities are geographically located?

The facilities of Kimberly Thomas are physically situated at the following location: 6404 Roosevelt Blvd, Philadelphia, PA, 191492943.

On what date did Kimberly Thomas receive its 1285628040 assignment from the Centers for Medicare & Medicaid Services?

The Kimberly Thomas was assigned its 1285628040 on 2005-09-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Kimberly Thomas most recently updated or refreshed?

The details pertaining to the Kimberly Thomas, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-03-29.

As of what date was the information regarding Kimberly Thomas, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kimberly Thomas, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-03-29.

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