Individual provider · Type 1 NPI
Thomas James Thibault, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · East Lyme, CT
Practice location
208 Boston Post Rd.
East Lyme, CT 06333-1613
Fax (860) 739-0060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 5386 (CT) |
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…
About NPI 1154474666
Thomas James Thibault, DMD's National Provider Identifier is 1154474666, issued on Jan 19, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in East Lyme, CT. The record was last updated on Jul 8, 2007.