Brent Thomas DMD PA
Organization Active NPI General Practice Dentistry · Vicksburg, MS
NPI 1306190285 · NPPES record last updated Oct 31, 2012
Key facts
- NPI
- 1306190285
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 195381 (MS)
- Legal business name
- BRENT THOMAS DMD PA
- Practice address
- 1805 Mission 66
Vicksburg, MS 39180-3709 - Phone
- (601) 638-2361
- Fax
- (601) 634-0864
- NPI assigned
- Oct 31, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Charles Brent Thomas, DMD
- Title
- Dentist
- Phone
- (601) 638-2361
Practitioners 2
-
Charles Brent Thomas, DMD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 195381 | MS | Yes |
Addresses
Primary practice location
1805 Mission 66
Vicksburg, MS 39180-3709
Mailing address
1805 Mission 66
Vicksburg, MS 39180-3709
Phone (601) 638-2361
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649492695 | Other | MS | NPI INDIVIDUAL |
Other providers in Vicksburg, MS
- Melissa Denise Bowman
- Rebecca Lauren Boyd
- Mary L Bozeman
- Steven Brasfield
- Lynn Breeden
- Catherine Brent
- Laura Jeanne Briggs
- Kara Brister
- Anna Jeanette Britt
- Pamela Brookins
All providers in Vicksburg, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.