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Provider Information for 1013310069

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. THOMAS F PLUNKETT D.M.D.

Gender: MALE

Individual NPI: 1013310069

Calendar   Last Updated:  2014-10-06
  Certification Date: 

Details

Name Value
NPI 1013310069
Enumeration Date 2014-10-06
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 200 LAKE HARRIS DR
LAKELAND, FL 33813-2632
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 200 LAKE HARRIS DR
LAKELAND, FL 33813-2632
United States

Phone: 863-646-0313 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist FL DN12385