Provider Demographics
NPI:1508353103
Name:TOMAS, NATALIE (DDS, MS)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:TOMAS
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 W SALT CREEK LN STE 130
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-5006
Mailing Address - Country:US
Mailing Address - Phone:847-870-0475
Mailing Address - Fax:
Practice Address - Street 1:3030 W SALT CREEK LN STE 130
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-5006
Practice Address - Country:US
Practice Address - Phone:847-870-0475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-18
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0320231223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry