Provider Demographics
NPI:1851648778
Name:THOMAS C. FLANAGAN, D.D.S.
Entity Type:Organization
Organization Name:THOMAS C. FLANAGAN, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-870-5254
Mailing Address - Street 1:10407 DAYTON PIKE
Mailing Address - Street 2:TOM FLANAGAN ORTHODONTICS
Mailing Address - City:SODDY DAISY
Mailing Address - State:TN
Mailing Address - Zip Code:37379
Mailing Address - Country:US
Mailing Address - Phone:423-332-5463
Mailing Address - Fax:
Practice Address - Street 1:10407 DAYTON PIKE
Practice Address - Street 2:TOM FLANAGAN ORTHODONTICS
Practice Address - City:SODDY DAISY
Practice Address - State:TN
Practice Address - Zip Code:37379
Practice Address - Country:US
Practice Address - Phone:423-332-5463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41241223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty