Provider Demographics
NPI:1619090370
Name:DAHL, THOMAS LLOYD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:LLOYD
Last Name:DAHL
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:90 VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-6474
Mailing Address - Country:US
Mailing Address - Phone:865-482-8890
Mailing Address - Fax:865-482-7400
Practice Address - Street 1:90 VERMONT AVE
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6474
Practice Address - Country:US
Practice Address - Phone:865-482-8890
Practice Address - Fax:865-482-7400
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2010-09-02
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000040322207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology