Provider Demographics
NPI:1679884456
Name:MARKESON, THOMAS MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MICHAEL
Last Name:MARKESON
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:8305 UNIVERSITY EXEC PARK DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-1361
Mailing Address - Country:US
Mailing Address - Phone:704-547-1279
Mailing Address - Fax:704-547-8383
Practice Address - Street 1:900 W TRADE ST
Practice Address - Street 2:SUITE 120
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-1139
Practice Address - Country:US
Practice Address - Phone:704-332-9848
Practice Address - Fax:704-332-4545
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC89981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice