Provider Demographics
NPI:1023782182
Name:THOMAS A. PLAS DDS LLC
Entity type:Organization
Organization Name:THOMAS A. PLAS DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:PLAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-933-2710
Mailing Address - Street 1:33398 WALKER RD STE F
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012-1496
Mailing Address - Country:US
Mailing Address - Phone:440-933-2710
Mailing Address - Fax:
Practice Address - Street 1:33398 WALKER RD STE F
Practice Address - Street 2:
Practice Address - City:AVON LAKE
Practice Address - State:OH
Practice Address - Zip Code:44012-1496
Practice Address - Country:US
Practice Address - Phone:440-933-2710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental