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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL THOMAS TOM, D.D.S.

Active

DR. MICHAEL THOMAS TOM, D.D.S. is a Dentist healthcare provider located in FORT WAYNE, Indiana. NPI 1477558138 is currently active in the NPPES registry. Verify at CMS.

Dentist · FORT WAYNE, IN

Registration Details

NPI Number
1477558138
Provider Type
Individual
Gender
Male
NPI Issued
Jun 17, 2005 (21.123526195891 yrs)
Last Updated
Jul 8, 2007
License
12010084A (IN)

Practice Information

Address
1220 MEDICAL PARK DR
STE 1
FORT WAYNE, IN, 468255843
Browse IN providers · Browse ZIP 46825
Phone
2604829196
Fax
2604843371
Primary Specialty
Dentist
122300000X

Other Dentist Providers in FORT WAYNE, IN

Name Credential NPI
DR. CHAD STOLLER DDS, PA-C 1700871118
DR. DWANE RICHARD BRUICK DDS 1740255991
DR. ROLAND FRED SLYBY DDS 1497765978
DR. MICHAEL ROBERT GLASSLEY D.D.S. 1841304573
DR. PHILIP W GARDNER DDS 1497865844
DR. SHILPA SUBHASH BUSS D.D.S 1942305016
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.