Provider Demographics
NPI:1841224656
Name:NORWOOD, W. THOMAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:W.
Middle Name:THOMAS
Last Name:NORWOOD
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 1:311 S. MAIN ST.
Mailing Address - Street 2:P.O. BOX 859
Mailing Address - City:NORWOOD
Mailing Address - State:NC
Mailing Address - Zip Code:28128
Mailing Address - Country:US
Mailing Address - Phone:704-474-3152
Mailing Address - Fax:704-474-0274
Practice Address - Street 1:311 SOUTH MAIN ST.
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:NC
Practice Address - Zip Code:28128-0859
Practice Address - Country:US
Practice Address - Phone:704-474-3152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC41001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice