Provider Demographics
NPI:1669548285
Name:TURNER, THOMAS AUTHAR (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:AUTHAR
Last Name:TURNER
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 1:1655 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-7025
Mailing Address - Country:US
Mailing Address - Phone:330-836-0235
Mailing Address - Fax:330-836-0497
Practice Address - Street 1:1655 W MARKET ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-7025
Practice Address - Country:US
Practice Address - Phone:330-836-0235
Practice Address - Fax:330-836-0497
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30015527122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0365439Medicaid