Provider Demographics
NPI:1902353717
Name:THOMAS A. SARNA, DDS PLLC
Entity type:Organization
Organization Name:THOMAS A. SARNA, DDS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:SARNA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:479-202-8666
Mailing Address - Street 1:2420 S 51ST CT
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-3669
Mailing Address - Country:US
Mailing Address - Phone:479-345-1111
Mailing Address - Fax:
Practice Address - Street 1:2420 S 51ST CT
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-3669
Practice Address - Country:US
Practice Address - Phone:479-345-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-09
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty