Provider Demographics
NPI:1316124639
Name:LENHART, THOMAS EDWARD II (DMD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:EDWARD
Last Name:LENHART
Suffix:II
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5433 CLAYTON RD
Mailing Address - Street 2:SUITE K#304
Mailing Address - City:CLAYTON
Mailing Address - State:CA
Mailing Address - Zip Code:94517-1089
Mailing Address - Country:US
Mailing Address - Phone:925-787-1772
Mailing Address - Fax:888-908-5286
Practice Address - Street 1:5433 CLAYTON RD
Practice Address - Street 2:SUITE K#304
Practice Address - City:CLAYTON
Practice Address - State:CA
Practice Address - Zip Code:94517-1089
Practice Address - Country:US
Practice Address - Phone:925-787-1772
Practice Address - Fax:888-908-5286
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2014-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA388671223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDental Anesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1223D0004XOtherNON-PROVIDER