Provider Demographics
NPI:1861599953
Name:THOMAS, HARVEY LEROY (DDS)
Entity type:Individual
Prefix:
First Name:HARVEY
Middle Name:LEROY
Last Name:THOMAS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 RIO LINDO AVE
Mailing Address - Street 2:SUITE 11
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1808
Mailing Address - Country:US
Mailing Address - Phone:530-895-0900
Mailing Address - Fax:530-895-1846
Practice Address - Street 1:650 RIO LINDO AVE
Practice Address - Street 2:SUITE 11
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1808
Practice Address - Country:US
Practice Address - Phone:530-895-0900
Practice Address - Fax:530-895-1846
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47668122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist