Provider Demographics
NPI:1013058700
Name:BROWDER, THOMAS S (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:S
Last Name:BROWDER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5380 US HIGHWAY 158
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ADVANCE
Mailing Address - State:NC
Mailing Address - Zip Code:27006-6907
Mailing Address - Country:US
Mailing Address - Phone:336-998-9988
Mailing Address - Fax:336-998-6331
Practice Address - Street 1:5380 US HIGHWAY 158
Practice Address - Street 2:SUITE 200
Practice Address - City:ADVANCE
Practice Address - State:NC
Practice Address - Zip Code:27006-6907
Practice Address - Country:US
Practice Address - Phone:336-998-9988
Practice Address - Fax:336-998-6331
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC66541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC899003NMedicaid