Provider Demographics
NPI:1477578276
Name:DANIEL J THOMAS LLC
Entity Type:Organization
Organization Name:DANIEL J THOMAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PERIODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:785-272-0770
Mailing Address - Street 1:3033 SW VILLA WEST DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-4487
Mailing Address - Country:US
Mailing Address - Phone:785-272-0770
Mailing Address - Fax:785-272-0035
Practice Address - Street 1:3033 SW VILLA WEST DR
Practice Address - Street 2:SUITE B
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-4487
Practice Address - Country:US
Practice Address - Phone:785-272-0770
Practice Address - Fax:785-272-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty