Provider Demographics
NPI:1568475317
Name:SAFFELL, THOMAS RICHARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:RICHARD
Last Name:SAFFELL
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 1:1111 N BRADY ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:ABILENE
Mailing Address - State:KS
Mailing Address - Zip Code:67410-1804
Mailing Address - Country:US
Mailing Address - Phone:785-263-4500
Mailing Address - Fax:785-263-3676
Practice Address - Street 1:1111 N BRADY ST
Practice Address - Street 2:SUITE A
Practice Address - City:ABILENE
Practice Address - State:KS
Practice Address - Zip Code:67410-1804
Practice Address - Country:US
Practice Address - Phone:785-263-4500
Practice Address - Fax:785-263-3676
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5138122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist