Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0700X | Prosthodontist | 22137 | TX |
Y | 1223P0700X | Prosthodontist | 8144 | NC |
NPI | 1134315815 |
---|---|
Provider Name | Dr. Thomas William Hummert |
First Address | Hendersonville, NC 28791-3771 |
Second Address | Hendersonville, NC 28791-3771 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2007 |
Last Update Date | 17/09/2007 |