Provider Demographics
NPI:1568533883
Name:ARMSTRONG, THOMAS WILLIAM (DMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:WILLIAM
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-1464
Mailing Address - Country:US
Mailing Address - Phone:704-376-6470
Mailing Address - Fax:704-496-2915
Practice Address - Street 1:201 PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1464
Practice Address - Country:US
Practice Address - Phone:704-376-6470
Practice Address - Fax:704-496-2915
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC43101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice