Provider Demographics
NPI:1013942382
Name:SWITZER, THOMAS A (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:A
Last Name:SWITZER
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 1:100 N EUCLID
Mailing Address - Street 2:SUITE 603
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-1544
Mailing Address - Country:US
Mailing Address - Phone:314-361-3100
Mailing Address - Fax:314-361-0030
Practice Address - Street 1:100 N EUCLID
Practice Address - Street 2:SUITE 603
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-1544
Practice Address - Country:US
Practice Address - Phone:314-361-3100
Practice Address - Fax:314-361-0030
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO125491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice