Kenneth D. Thomas, DDS
Dentist, General Practice in Clarkston, MI. Organization (NPI-2).
NPI number1154920106
StatusActive
Last updated in NPPESOct 21, 2020
Details
- NPI
- 1154920106
- Entity type
- Organization (NPI-2)
- Legal business name
- Kenneth D. Thomas, DDS
- Organization subpart
- No
- Enumeration date
- Oct 21, 2020
- Certification date
- Oct 21, 2020
- Last updated
- Oct 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
6080 Dixie Hwy Ste AClarkston, MI 48346-3493
Phone 248-623-4990
Mailing address
6080 Dixie Hwy Ste AClarkston, MI 48346-3493
Phone 248-623-4990
Other practice locations
6080 Dixie Hwy Ste A
Clarkston, MI 48346-3493
Clarkston, MI 48346-3493
Phone 248-623-4990
Authorized official
Vicki Thomas
Office Manager
2488920001
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