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

THOMAS LEROY DEXTER III

Active Sole Proprietor

THOMAS LEROY DEXTER III is a Physician Assistant healthcare provider located in CEDAR LAKE, Indiana. NPI 1841865805 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CEDAR LAKE, IN

Registration Details

NPI Number
1841865805
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2021 (5.2609559780761 yrs)
Last Updated
Sep 7, 2023
Sole Proprietor
Yes

Practice Information

Address
9861 LINCOLN PLAZA WAY UNIT 8
CEDAR LAKE, IN, 463037301
Browse IN providers · Browse ZIP 46303
Phone
6159158324
Primary Specialty
Physician Assistant
363A00000X
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.