Provider Demographics
NPI:1386776854
Name:ROHS, THOMAS ELDON (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ELDON
Last Name:ROHS
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 1:1650 SANDY ROCK RD
Mailing Address - Street 2:
Mailing Address - City:HOLLANDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53544-9462
Mailing Address - Country:US
Mailing Address - Phone:608-967-2104
Mailing Address - Fax:
Practice Address - Street 1:435 MAIN ST
Practice Address - Street 2:
Practice Address - City:DARLINGTON
Practice Address - State:WI
Practice Address - Zip Code:53530-1427
Practice Address - Country:US
Practice Address - Phone:608-776-2082
Practice Address - Fax:608-776-4070
Is Sole Proprietor?:No
Enumeration Date:2007-03-11
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND8742122300000X
WI5811-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist