Provider Demographics
NPI:1043239957
Name:THOMAS C. RECTOR D.D.S. INC
Entity Type:Organization
Organization Name:THOMAS C. RECTOR D.D.S. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:RECTOR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:765-288-1307
Mailing Address - Street 1:1003 W MCGALLIARD RD
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47303-1768
Mailing Address - Country:US
Mailing Address - Phone:765-288-1307
Mailing Address - Fax:765-741-1649
Practice Address - Street 1:1003 W MCGALLIARD RD
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47303-1768
Practice Address - Country:US
Practice Address - Phone:765-288-1307
Practice Address - Fax:765-741-1649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12007711122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty