Provider Demographics
NPI:1912632795
Name:DARLINGTON, THOMAS BAKER (DDS)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:BAKER
Last Name:DARLINGTON
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 1:4657 CROSSOVER LN
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-5526
Mailing Address - Country:US
Mailing Address - Phone:901-356-3717
Mailing Address - Fax:
Practice Address - Street 1:7675 WOLF RIVER CIR STE 201
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-1748
Practice Address - Country:US
Practice Address - Phone:901-681-0777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN119891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice