Individual provider · Type 1 NPI
Michael Thomas Tom, DDS
Dentist · Fort Wayne, IN
Practice location
1220 Medical Park Dr, Ste 1
Fort Wayne, IN 46825-5843
Fax (260) 484-3371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 12010084A (IN) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
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About NPI 1477558138
Michael Thomas Tom, DDS's National Provider Identifier is 1477558138, issued on Jun 17, 2005. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 13, 2026.