Provider Demographics
NPI:1134140320
Name:THOMSEN, MACARTHUR & SEHL, D.M.D.,PC
Entity Type:Organization
Organization Name:THOMSEN, MACARTHUR & SEHL, D.M.D.,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:E
Authorized Official - Last Name:THOMSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:860-529-5280
Mailing Address - Street 1:55 TOWN LINE RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-4352
Mailing Address - Country:US
Mailing Address - Phone:860-529-5280
Mailing Address - Fax:860-529-1334
Practice Address - Street 1:55 TOWN LINE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-4352
Practice Address - Country:US
Practice Address - Phone:860-529-5280
Practice Address - Fax:860-529-1334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0061401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty