Provider Demographics
NPI:1578789566
Name:THOMAS, SINY RAJU (DMD)
Entity Type:Individual
Prefix:DR
First Name:SINY
Middle Name:RAJU
Last Name:THOMAS
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 1:736 HIGHWAY 6 STE 102
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-5103
Mailing Address - Country:US
Mailing Address - Phone:281-240-2400
Mailing Address - Fax:
Practice Address - Street 1:736 HIGHWAY 6 STE 102
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5103
Practice Address - Country:US
Practice Address - Phone:281-240-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21463122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist