Provider Demographics
NPI:1477569192
Name:THOMAS, MARRIO RHODAN (DDS)
Entity Type:Individual
Prefix:MR
First Name:MARRIO
Middle Name:RHODAN
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 1:670 COLONIAL
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117
Mailing Address - Country:US
Mailing Address - Phone:901-537-0077
Mailing Address - Fax:901-537-0088
Practice Address - Street 1:670 COLONIAL
Practice Address - Street 2:SUITE 6 DR. MARRIO SMILES PLLC
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117
Practice Address - Country:US
Practice Address - Phone:901-537-0077
Practice Address - Fax:901-537-0088
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7671122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist