Provider Demographics
NPI:1477895647
Name:THOMAS, BENJAMIN RAWSTHORNE (DDS)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:RAWSTHORNE
Last Name:THOMAS
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 1:210 HEMMINGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-8624
Mailing Address - Country:US
Mailing Address - Phone:919-998-8068
Mailing Address - Fax:
Practice Address - Street 1:101 E CORBIN ST
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-2104
Practice Address - Country:US
Practice Address - Phone:919-644-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9372122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist