Provider Demographics
NPI:1881728665
Name:REDMOND, THOMAS STRAYER (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:STRAYER
Last Name:REDMOND
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 1:2202 ACORN CIRCLE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-9783
Mailing Address - Country:US
Mailing Address - Phone:814-654-4128
Mailing Address - Fax:814-654-4121
Practice Address - Street 1:2202 ACORN CIRCLE
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-9783
Practice Address - Country:US
Practice Address - Phone:814-654-4128
Practice Address - Fax:814-654-4121
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS015217-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice