Provider Demographics
NPI:1619418076
Name:DAVID E THOME DDS PLLC VIII
Entity type:Organization
Organization Name:DAVID E THOME DDS PLLC VIII
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CREDENTIALING & PAYER R
Authorized Official - Prefix:
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MYRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-390-2807
Mailing Address - Street 1:236 MARKET ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LOCUST
Mailing Address - State:NC
Mailing Address - Zip Code:28097-9439
Mailing Address - Country:US
Mailing Address - Phone:980-354-0784
Mailing Address - Fax:
Practice Address - Street 1:236 MARKET ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LOCUST
Practice Address - State:NC
Practice Address - Zip Code:28097-9438
Practice Address - Country:US
Practice Address - Phone:704-604-0353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-17
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC92771223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty