Provider Demographics
NPI:1760465306
Name:SWEENEY, THOMAS PATRICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:PATRICK
Last Name:SWEENEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 5TH AVE STE 4660
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-7057
Mailing Address - Country:US
Mailing Address - Phone:206-682-8200
Mailing Address - Fax:425-637-8704
Practice Address - Street 1:701 5TH AVE STE 4660
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-7057
Practice Address - Country:US
Practice Address - Phone:206-682-8200
Practice Address - Fax:206-386-5099
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA59651223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics