Provider Demographics
NPI:1497253645
Name:THOMAS H. PATTERSON, DMD
Entity Type:Organization
Organization Name:THOMAS H. PATTERSON, DMD
Other - Org Name:THOMAS H. PATTERSON, DMD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:H
Authorized Official - Last Name:PATTERSON, DMD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:205-491-2161
Mailing Address - Street 1:3098 ALLISON BONNETT MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HUEYTOWN
Mailing Address - State:AL
Mailing Address - Zip Code:35023-2233
Mailing Address - Country:US
Mailing Address - Phone:205-491-2161
Mailing Address - Fax:205-491-2198
Practice Address - Street 1:3098 ALLISON BONNETT MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HUEYTOWN
Practice Address - State:AL
Practice Address - Zip Code:35023-2233
Practice Address - Country:US
Practice Address - Phone:205-491-2161
Practice Address - Fax:205-491-2198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-23
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3535261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental