Skip Navigation

Provider Information for 1447267190



DR. BENNETT ALLEN THOMAS DDS

Gender: MALE

Individual NPI: 1447267190

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1447267190
Enumeration Date 2006-08-02
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1300 CEDAR RD
CHESAPEAKE, VA 23322
United States

Phone: 757-548-3238 | Fax: 757-547-0679
View Map External Link
Primary Practice Address 1300 CEDAR RD
CHESAPEAKE, VA 23322
United States

Phone: 757-548-3238 | Fax: 757-547-0679
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice VA 0401007166
Other Identifiers
Issuer State Number