Provider Demographics
NPI:1013037225
Name:THOMAS, DAVID AUSTIN III (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:AUSTIN
Last Name:THOMAS
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 N ROCKWALL ST
Mailing Address - Street 2:
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75160-2120
Mailing Address - Country:US
Mailing Address - Phone:972-563-2642
Mailing Address - Fax:
Practice Address - Street 1:803 N ROCKWALL ST
Practice Address - Street 2:
Practice Address - City:TERRELL
Practice Address - State:TX
Practice Address - Zip Code:75160-2120
Practice Address - Country:US
Practice Address - Phone:972-563-2642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice