Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS W FONNER, DMD
ActiveDR. THOMAS W FONNER, DMD is a Oral & Maxillofacial Surgery healthcare provider located in EFFINGHAM, Illinois. NPI 1205907581 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · EFFINGHAM, IL
Registration Details
- NPI Number
- 1205907581
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 10, 2006 (19.727903107655 yrs)
- Last Updated
- Apr 4, 2018
- License
-
019-024942 (IL)
Practice Information
- Address
-
100 GREENVIEW DR STE BEFFINGHAM, IL, 624013048Browse IL providers · Browse ZIP 62401
- Phone
- 2175405348
- Fax
- 2175405360
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in EFFINGHAM, IL
| Name | Credential | NPI |
|---|---|---|
| JAY IVOR SWANSON | D.D.S.,M.D. | 1811166614 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.