Provider Demographics
NPI:1427263003
Name:HALE, THOMAS PATRICK (DDS, PL)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:PATRICK
Last Name:HALE
Suffix:
Gender:M
Credentials:DDS, PL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9180 GALLERIA CT
Mailing Address - Street 2:STE 100
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-4384
Mailing Address - Country:US
Mailing Address - Phone:239-593-0880
Mailing Address - Fax:239-593-0881
Practice Address - Street 1:9180 GALLERIA CT
Practice Address - Street 2:STE 100
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-4384
Practice Address - Country:US
Practice Address - Phone:239-593-0880
Practice Address - Fax:239-593-0881
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN150251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice