Provider Demographics
NPI:1285908871
Name:GESSEL, THOMAS F (DMD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:F
Last Name:GESSEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21105 SR 410 E
Mailing Address - Street 2:STE G4
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391-8457
Mailing Address - Country:US
Mailing Address - Phone:253-299-6730
Mailing Address - Fax:253-862-8921
Practice Address - Street 1:21105 SR 410 E
Practice Address - Street 2:STE G4
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-8457
Practice Address - Country:US
Practice Address - Phone:253-299-6730
Practice Address - Fax:253-862-8921
Is Sole Proprietor?:No
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WADE601753361223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics