Provider Demographics
NPI:1861611709
Name:THOMAS, DAVID LYNN (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LYNN
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 1:4823 S SHERIDAN RD
Mailing Address - Street 2:#301
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-5755
Mailing Address - Country:US
Mailing Address - Phone:918-663-9119
Mailing Address - Fax:
Practice Address - Street 1:4823 S SHERIDAN RD
Practice Address - Street 2:#301
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-5755
Practice Address - Country:US
Practice Address - Phone:918-663-9119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4449122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist