Provider Demographics
NPI:1447476452
Name:WEBB, THOMAS FREDERICK (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:FREDERICK
Last Name:WEBB
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 1:3100 KARIBLUE LN
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-0013
Mailing Address - Country:US
Mailing Address - Phone:252-439-0922
Mailing Address - Fax:252-439-0925
Practice Address - Street 1:1609 W ARLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5610
Practice Address - Country:US
Practice Address - Phone:252-752-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC38411223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics