Provider Demographics
NPI:1336231182
Name:SAYER, THOMAS JOHN (DDS, PC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JOHN
Last Name:SAYER
Suffix:
Gender:M
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 MAIN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ST SIMONS ISLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31522-1666
Mailing Address - Country:US
Mailing Address - Phone:912-638-9946
Mailing Address - Fax:912-638-4407
Practice Address - Street 1:300 MAIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:ST SIMONS ISLAND
Practice Address - State:GA
Practice Address - Zip Code:31522-1666
Practice Address - Country:US
Practice Address - Phone:912-638-9946
Practice Address - Fax:912-638-4407
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA86241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice