Provider Demographics
NPI:1902000326
Name:THOMAS, AMEERA S (DMD)
Entity Type:Individual
Prefix:DR
First Name:AMEERA
Middle Name:S
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7323 SAND POINT WAY NE
Mailing Address - Street 2:201
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-6378
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14090 FRYELANDS BLVD SE
Practice Address - Street 2:SUITE 348
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-2693
Practice Address - Country:US
Practice Address - Phone:360-863-8700
Practice Address - Fax:360-822-7184
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE 60161079122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist