Individual provider · Type 1 NPI
Thomas Michael Blase, DDS, M.S.D.
Orthodontics and Dentofacial Orthopedics Dentistry · Tucson, AZ
Practice location
6373 E Tanque Verde Rd Ste 110
Tucson, AZ 85715-3835
Fax (520) 296-7353
Mailing address
12420 E Cape Horn Dr
Tucson, AZ 85749-8488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 3781 (AZ) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Another provider at this address
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About NPI 1023112539
Thomas Michael Blase, DDS, M.S.D.'s National Provider Identifier is 1023112539, issued on Sep 13, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Tucson, AZ. The record was last updated on Jul 8, 2007.