Provider Demographics
NPI:1104945815
Name:INGLIS, THOMAS H (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:H
Last Name:INGLIS
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:PO BOX 665
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-0665
Mailing Address - Country:US
Mailing Address - Phone:320-587-3502
Mailing Address - Fax:320-587-0979
Practice Address - Street 1:45 WASHINGTON AVE E
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350-2574
Practice Address - Country:US
Practice Address - Phone:320-587-3502
Practice Address - Fax:320-587-0979
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND85911223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics