Provider Demographics
NPI:1932212099
Name:LENOX, THOMAS NEILL (DMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:NEILL
Last Name:LENOX
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5314
Mailing Address - Street 2:RT 31 NORTH WALNUT POND PROF BLDG
Mailing Address - City:CLINTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08809-0314
Mailing Address - Country:US
Mailing Address - Phone:908-735-8188
Mailing Address - Fax:908-735-6651
Practice Address - Street 1:1484 RT 31 NORTH
Practice Address - Street 2:WALNUT POND PROF BLDG
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809-0314
Practice Address - Country:US
Practice Address - Phone:908-735-8188
Practice Address - Fax:908-735-6651
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI16031122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6332005Medicaid
103264OtherUNITED CONCORDIA
16031OtherDELTA DENTAL