Provider Demographics
NPI:1225165624
Name:PARTRIDGE, THOMAS PHILIP (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:PHILIP
Last Name:PARTRIDGE
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 1:3575 STATE ROUTE 73
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-7805
Mailing Address - Country:US
Mailing Address - Phone:937-764-1430
Mailing Address - Fax:
Practice Address - Street 1:7168 BEECHMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-4127
Practice Address - Country:US
Practice Address - Phone:513-231-2733
Practice Address - Fax:513-231-6604
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30 01 41331223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics