| Ely @ Thomson PA | |
|
4140 Nw 27th Ln Suite H Gainesville FL 32606-7473 | |
| (352) 373-7373 | |
| (352) 377-1225 |
| Full Name | Ely @ Thomson PA |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4140 Nw 27th Ln, Gainesville, Florida |
| Authorized Official Name and Position | Tommy Martin Thomson (PARTNER) |
| Authorized Official Contact | 3523737373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ely @ Thomson PA 4140 Nw 27th Ln Suite H Gainesville FL 32606-7473 Ph: (352) 373-7373 | Ely @ Thomson PA 4140 Nw 27th Ln Suite H Gainesville FL 32606-7473 Ph: (352) 373-7373 |
| NPI Number | 1528053923 |
|---|---|
| Provider Enumeration Date | 09/13/2005 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528053923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7024 (Florida) | Primary |
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