Provider Demographics
NPI:1902015084
Name:NASSER, THOMAS K (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:K
Last Name:NASSER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12188A N MERIDIAN ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-4406
Mailing Address - Country:US
Mailing Address - Phone:317-844-7833
Mailing Address - Fax:317-844-3142
Practice Address - Street 1:12188A N MERIDIAN ST
Practice Address - Street 2:SUITE 300
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4406
Practice Address - Country:US
Practice Address - Phone:317-844-7833
Practice Address - Fax:317-844-3142
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120092571223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics