Thomas C Flavin DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13614 Issued in MO

Legal business name

THOMAS C FLAVIN DDS

Doing business as

Healthy Smiles of St. Louis

Practice address

4224 Watson Rd
Saint Louis, MO 63109-1210

Phone

(314) 832-1366

Fax

(314) 832-1230

NPI assigned

Aug 4, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas C Flavin, DDS

Title

Owner/General Dentist

Phone

(314) 832-1366

Specialties & licenses 1

Addresses

Other names 1

• Healthy Smiles of St. Louis Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1083168363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3000",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973028001",
            "telephone_number": "800-544-2345",
            "fax_number": "503-315-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091210",
            "telephone_number": "314-832-1366",
            "fax_number": "314-832-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C FLAVIN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "FLAVIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "314-832-1366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "13614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Smiles of St. Louis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark S W. Thoelke, MD
• Marissa Thole
• Thomas a Switzer DDS PC
• Thomas Business Enterprises Inc
• Thomas Business Enterprises, Inc
• Thomas Dental Office PC
• Thomas E Gaegiula, D.C., P.C.
• Thomas Family Care LLC
• Thomas Family IHS LLC
• Thomas J. Kirisits, D.P.M., P.C.

• General Practice Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.