Provider Demographics
NPI:1750158671
Name:THOMAS M FUCHS DMD INC
Entity type:Organization
Organization Name:THOMAS M FUCHS DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:FUCHS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:502-253-0008
Mailing Address - Street 1:305 MIDDLETOWN PARK PL STE A
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40243-2514
Mailing Address - Country:US
Mailing Address - Phone:502-253-0008
Mailing Address - Fax:502-253-0039
Practice Address - Street 1:305 MIDDLETOWN PARK PL STE A
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-2514
Practice Address - Country:US
Practice Address - Phone:502-253-0008
Practice Address - Fax:502-253-0039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty