Provider Demographics
NPI:1841232998
Name:THOMAS, JULIE MARIE (DDS)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MARIE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1437 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-4245
Mailing Address - Country:US
Mailing Address - Phone:330-244-9081
Mailing Address - Fax:330-244-8885
Practice Address - Street 1:1437 S MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-4245
Practice Address - Country:US
Practice Address - Phone:330-244-9081
Practice Address - Fax:330-244-8885
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH195111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice