Provider Demographics
NPI:1356329346
Name:ABRELL, THOMAS CRAIG (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CRAIG
Last Name:ABRELL
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 1:2331 LAFAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47805-2842
Mailing Address - Country:US
Mailing Address - Phone:812-466-1726
Mailing Address - Fax:812-466-1726
Practice Address - Street 1:2331 LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47805-2842
Practice Address - Country:US
Practice Address - Phone:812-466-1726
Practice Address - Fax:812-466-1726
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120092171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice