Thomas Andrew Conner, D.D.S.
Individual provider Active NPI Dentist · Chesterfield, VA
NPI 1578863403 · NPPES record last updated Jun 27, 2016
Key facts
- NPI
- 1578863403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 0401007258 (VA)
- Practice address
- 9510 Iron Bridge Rd
Suite 100
Chesterfield, VA 23832-6400 - Phone
- (804) 768-7600
- Fax
- (804) 768-0115
- NPI assigned
- Oct 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401007258 | VA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401007258 | VA | Yes |
Addresses
Primary practice location
9510 Iron Bridge Rd
Suite 100
Chesterfield, VA 23832-6400
Mailing address
9510 Iron Bridge Rd
Suite 100
Chesterfield, VA 23832-6400
Phone (804) 768-7600
Other providers in Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2016. 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.