Provider Demographics
NPI:1730248501
Name:THAI, TUAN N (DMD)
Entity type:Individual
Prefix:DR
First Name:TUAN
Middle Name:N
Last Name:THAI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 SWEETBRIAR WAY
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-7122
Mailing Address - Country:US
Mailing Address - Phone:717-725-4365
Mailing Address - Fax:
Practice Address - Street 1:1559 RODNEY RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-9716
Practice Address - Country:US
Practice Address - Phone:717-767-6787
Practice Address - Fax:717-767-6786
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0356101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice