Thomas Charles Helm, DDS
Individual provider Active NPI General Practice Dentistry · South Pittsburg, TN
NPI 1104849397 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104849397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS3765 (TN)
- Practice address
- 1904 S Cedar Ave
South Pittsburg, TN 37380 - Phone
- (423) 837-8900
- Fax
- (423) 837-2284
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150630001116 | TN | Order and Referring Only - Oral Surgery |
4981916236 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS3765 | TN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS3765 | TN | Yes |
Addresses
Primary practice location
1904 S Cedar Ave
South Pittsburg, TN 37380
Mailing address
1904 S Cedar Ave
South Pittsburg, TN 37380
Phone (423) 837-8900
Other providers in South Pittsburg, TN
- Eyear Optical, Inc.
- Kristin M Flake
- Joshua Fogleman
- John Robert Fox
- Tracy G Gartman
- Katie Elizabeth Henson
- Shana T Hilson
- Mandy Howard
- HQM of South Pittsburg, LLC
- Kilgore Express Pharmacy Inc
All providers in South Pittsburg, TN · General Practice Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.