Thomas Blake Sudberry, D.D.S.

NPI #1801081534 in Ardmore, Oklahoma

Provider Information

NPI Number: 1801081534
Entity Type: Individual
Name: Thomas Blake Sudberry, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Sep 6, 2007
Last Updated: Sep 6, 2007

Practice Location

Address: 615 N. COMMERCE
City: Ardmore
State: Oklahoma
ZIP Code: 73401
Phone: (580) 223-6720

Specialties & Taxonomy Codes

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

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