Dr. Thomas Michael Blase
Orthodontists
6373 E Tanque Verde Rd Ste 110
Tucson
, Arizona 85715-3835
Dr. Thomas Michael Blase
Orthodontists
6373 E Tanque Verde Rd Ste 110
Tucson
, Arizona 85715-3835
(520) 749-9822
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Thomas Michael Blase
- 12420 E Cape Horn Dr
- Tucson, AZ
- Zip : 85749-8488
- Phone : (520) 749-9822
Second Address
- Dr. Thomas Michael Blase
- 6373 E Tanque Verde Rd Ste 110
- Tucson, AZ
- Zip : 85715-3835
- Fax : (520) 296-7353
- Phone : (520) 296-1700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 3781 | AZ |
National Provider Identifier
| NPI | 1023112539 |
|---|---|
| Provider Name | Dr. Thomas Michael Blase |
| First Address | Tucson, AZ 85749-8488 |
| Second Address | Tucson, AZ 85715-3835 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.