Provider Demographics
NPI:1730283318
Name:THOMAS A SWITZER DDS PC
Entity Type:Organization
Organization Name:THOMAS A SWITZER DDS PC
Other - Org Name:CENTRAL WEST END DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:SWITZER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:314-361-3100
Mailing Address - Street 1:100 N EUCLID
Mailing Address - Street 2:SUITE 603
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-1529
Mailing Address - Country:US
Mailing Address - Phone:314-361-3100
Mailing Address - Fax:314-361-0030
Practice Address - Street 1:100 N EUCLID
Practice Address - Street 2:SUITE 603
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-1529
Practice Address - Country:US
Practice Address - Phone:314-361-3100
Practice Address - Fax:314-361-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO125491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty