Provider Demographics
NPI:1427367788
Name:THOMAS H. HOHL, D.D.S., P.S., ORAL & MAXILLOFACIAL SURGERY
Entity Type:Organization
Organization Name:THOMAS H. HOHL, D.D.S., P.S., ORAL & MAXILLOFACIAL SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:H
Authorized Official - Last Name:HOHL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:206-522-2212
Mailing Address - Street 1:4540 SAND POINT WAY NE STE 360
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3941
Mailing Address - Country:US
Mailing Address - Phone:206-522-2212
Mailing Address - Fax:
Practice Address - Street 1:4540 SAND POINT WAY NE STE 360
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3941
Practice Address - Country:US
Practice Address - Phone:206-522-2212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE 00004289261QS0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery