Thomas W Mabry is a Periodontics in Slidell, Louisiana. Thomas W Mabry practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Thomas W Mabry is 1477684819. The last update date is 2007-07-08.
Thomas W Mabry's current location address is 1241 7th St, Slidell, Louisiana. You can contact this provider via phone number 9856461421 and fax number 9856461464. The mailing address for Thomas W Mabry is 1241 7th St, Slidell, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas W Mabry |
|---|---|
| Address | 1241 7th St, Slidell, Louisiana |
| Phone Number | 9856461421 |
| Fax Number | 9856461464 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1477684819 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1241 7th St |
|---|---|
| City | Slidell |
| State | Louisiana (LA) |
| Post Code | 704582041 |
| Phone Number | 9856461421 |
| Fax Number | 9856461464 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 3713 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique identification code assigned to Thomas W Mabry by the Centers for Medicare & Medicaid Services?
The Thomas W Mabry has been issued the NPI (National Provider Identifier) 1477684819. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Thomas W Mabry?
The Thomas W Mabry is situated at 1241 7Th St, in the city of Slidell, state of LA, with the zip code 704582041.
What is the Thomas W Mabry's area of specialization and corresponding taxonomy classification?
The Thomas W Mabry's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
On what date did the Thomas W Mabry receive its 1477684819 assignment from the Centers for Medicare & Medicaid Services?
The Thomas W Mabry was assigned its 1477684819 by the Centers for Medicare & Medicaid Services on 2007-03-08.
As of what date were the details related to Thomas W Mabry most recently updated or revised?
The information pertaining to Thomas W Mabry, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.