Provider Demographics
NPI:1497783906
Name:ISBELL, THOMAS MELVIN (DDS)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:MELVIN
Last Name:ISBELL
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 1:1510 E MAIN ST
Mailing Address - Street 2:P.O. BOX 190
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:AR
Mailing Address - Zip Code:72560-6351
Mailing Address - Country:US
Mailing Address - Phone:870-269-3828
Mailing Address - Fax:870-269-8593
Practice Address - Street 1:1510 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:AR
Practice Address - Zip Code:72560-6351
Practice Address - Country:US
Practice Address - Phone:870-269-3828
Practice Address - Fax:870-269-8593
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAI21011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice