Provider Demographics
NPI:1578671590
Name:THOMAS, ARNOLD WILLIAM (DMD,PC)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:WILLIAM
Last Name:THOMAS
Suffix:
Gender:M
Credentials:DMD,PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 COMMERCE DR
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-4739
Mailing Address - Country:US
Mailing Address - Phone:412-262-3530
Mailing Address - Fax:412-262-1558
Practice Address - Street 1:1000 COMMERCE DR
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-4739
Practice Address - Country:US
Practice Address - Phone:412-262-3530
Practice Address - Fax:412-262-1558
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028107-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice