Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DSO13881L | PA |
NPI | 1003079849 |
---|---|
Provider Name | Dr. Stephen C Thomas |
First Address | York, PA 17402-0534 |
Second Address | York, PA 17402-3042 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2008 |
Last Update Date | 02/07/2008 |