Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 11151 | MD |
NPI | 1043295231 |
---|---|
Provider Name | Dr. Thomas Spalding Sympson |
First Address | Washington, DC 20307-5400 |
Second Address | Washington, DC 20307-5400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2005 |
Last Update Date | 08/07/2007 |