Provider Demographics
NPI:1750387361
Name:HOHL, THOMAS HOWARD (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:HOWARD
Last Name:HOHL
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 1:4540 SAND POINT WAY NE
Mailing Address - Street 2:STE 360
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105
Mailing Address - Country:US
Mailing Address - Phone:206-522-2212
Mailing Address - Fax:206-522-9494
Practice Address - Street 1:4540 SAND POINT WAY NE
Practice Address - Street 2:STE 360
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105
Practice Address - Country:US
Practice Address - Phone:206-522-2212
Practice Address - Fax:206-522-9494
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2025-05-25
Deactivation Date:2006-03-31
Deactivation Code:
Reactivation Date:2006-08-15
Provider Licenses
StateLicense IDTaxonomies
WADE000042891223S0112X
WAGA100000611223S0112X
IDD1594OS1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5018205OtherDSHS
WA5018205OtherDSHS