Provider Demographics
NPI:1154463230
Name:THOMAS, JAMES WILLIAM (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WILLIAM
Last Name:THOMAS
Suffix:
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 1:5353 CORSO RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45056-9735
Mailing Address - Country:US
Mailing Address - Phone:513-523-2608
Mailing Address - Fax:
Practice Address - Street 1:5279 MORNING SUN RD
Practice Address - Street 2:SUITE A
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-9557
Practice Address - Country:US
Practice Address - Phone:513-523-6351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH125821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice