Fairly Thomas, DMD

NPI #1134296056 in Chadds Ford, Pennsylvania

Provider Information

NPI Number: 1134296056
Entity Type: Individual
Name: Fairly Thomas, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Nov 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 98 ROUTE 202 AT PA DE LINE
City: Chadds Ford
State: Pennsylvania
ZIP Code: 19317
Phone: (610) 459-4915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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