Provider Demographics
NPI:1558622555
Name:BIGLEY, THOMAS JOSEPH
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JOSEPH
Last Name:BIGLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8152 PAINTER AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-3100
Mailing Address - Country:US
Mailing Address - Phone:562-698-8272
Mailing Address - Fax:
Practice Address - Street 1:8152 PAINTER AVE
Practice Address - Street 2:STE 101
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-3100
Practice Address - Country:US
Practice Address - Phone:562-698-8272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA354721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice