Provider Demographics
NPI:1932310976
Name:MARKLE, THOMAS A II (D M D)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:A
Last Name:MARKLE
Suffix:II
Gender:M
Credentials:D M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 S HIGHWAY 101 STE 121
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2219
Mailing Address - Country:US
Mailing Address - Phone:619-573-2048
Mailing Address - Fax:
Practice Address - Street 1:437 S HIGHWAY 101 STE 121
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2219
Practice Address - Country:US
Practice Address - Phone:619-573-2048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO89751223G0001X
AZ62241223G0001X
CA589411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice