Provider Demographics
NPI:1295987964
Name:WILLIAM L. THOMAS
Entity type:Organization
Organization Name:WILLIAM L. THOMAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:L
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, PC
Authorized Official - Phone:434-645-9602
Mailing Address - Street 1:237 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:CHASE CITY
Mailing Address - State:VA
Mailing Address - Zip Code:23924-1431
Mailing Address - Country:US
Mailing Address - Phone:434-372-3636
Mailing Address - Fax:434-372-4848
Practice Address - Street 1:101 MASON ST
Practice Address - Street 2:
Practice Address - City:CREWE
Practice Address - State:VA
Practice Address - Zip Code:23930-1745
Practice Address - Country:US
Practice Address - Phone:434-645-9602
Practice Address - Fax:434-645-2029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-14
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty