Provider Demographics
NPI:1548879315
Name:THOMAS, ASHLEY GRACE (DDS)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:GRACE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:KRIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1145 N. ANDOVER RD.
Mailing Address - Street 2:STE 101
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002
Mailing Address - Country:US
Mailing Address - Phone:316-260-6220
Mailing Address - Fax:316-260-6224
Practice Address - Street 1:1145 N. ANDOVER RD.
Practice Address - Street 2:STE 101
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002
Practice Address - Country:US
Practice Address - Phone:316-260-6220
Practice Address - Fax:316-260-6224
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS61667122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist