Provider Demographics
NPI:1396912689
Name:TOMLO, THOMAS F (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:F
Last Name:TOMLO
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 1:831 N JUSTICE ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3440
Mailing Address - Country:US
Mailing Address - Phone:828-692-3204
Mailing Address - Fax:828-692-2178
Practice Address - Street 1:831 N JUSTICE ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3440
Practice Address - Country:US
Practice Address - Phone:828-692-3204
Practice Address - Fax:828-692-2178
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200001556954122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist