Provider Demographics
NPI:1922027267
Name:THOMAS, DANIEL J (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:THOMAS
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Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:3033 SW VILLA WEST DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-4487
Mailing Address - Country:US
Mailing Address - Phone:785-272-0770
Mailing Address - Fax:785-272-0035
Practice Address - Street 1:3033 SW VILLA WEST DR
Practice Address - Street 2:SUITE B
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-4487
Practice Address - Country:US
Practice Address - Phone:785-272-0770
Practice Address - Fax:785-272-0035
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS67381223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics