Provider Demographics
NPI:1760863823
Name:PASCOE, THOMAS LORIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:LORIN
Last Name:PASCOE
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 1:20 CARE DR
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-5052
Mailing Address - Country:US
Mailing Address - Phone:517-437-2654
Mailing Address - Fax:
Practice Address - Street 1:20 CARE DR
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-5052
Practice Address - Country:US
Practice Address - Phone:517-437-2654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901021586122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist