Provider Demographics
NPI:1346538501
Name:THOMAS, CAROLINE N (DMD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:N
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 NORTHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-2128
Mailing Address - Country:US
Mailing Address - Phone:803-359-3215
Mailing Address - Fax:803-359-8664
Practice Address - Street 1:510 NORTHWOOD RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-2128
Practice Address - Country:US
Practice Address - Phone:803-359-3215
Practice Address - Fax:803-359-8664
Is Sole Proprietor?:No
Enumeration Date:2011-07-21
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7029122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist