NPI 1073522272

Richard Nelson Thomas, DENTISTDDS

Practitioner General Practice Dentistry Crestview, FL

Practice location

Address: 102 Alabama St STE a, Crestview, FL 32536-2518
Phone: (850) 682-4516
Fax: (850) 682-4498

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 7100 (FL)

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Registry record

NPI: 1073522272
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2006
Record last updated: 17 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.