DR. Thomas W Fonner, DMD

NPI #1205907581 in Effingham, Illinois

Provider Information

NPI Number: 1205907581
Entity Type: Individual
Name: DR. Thomas W Fonner, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: DMD
Enumeration Date: Nov 10, 2006
Last Updated: Apr 4, 2018

Practice Location

Address: 100 GREENVIEW DR STE B
City: Effingham
State: Illinois
ZIP Code: 62401-3048
Phone: (217) 540-5348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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Organizations

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