DR. TAD CHRISTIAN THOLSTROM (NPI# 1174678320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174678320 |
| Entity Type | Individual |
| Full Name | DR. TAD CHRISTIAN THOLSTROM |
| Credential | D.D.S. |
| Practice Address |
48 Mdg Unit 5115 Apo AA 09461-5115 |
| Mailing Address |
48 Mdg/sghc Unit 5115 Apo AE 09461 |
| Practice Telephone | 441480824585 |
| Mailing Telephone | 441480824585 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2014-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9214 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | DENTAL LICENSE | 9214 | 01 |
| Street Address |
48 MDG UNIT 5115 |
| City | APO |
| State | AA |
| Zip Code | 09461-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871587428 | Thomas Wesley Harrell | Internal Medicine | 48 Mdg, Unit 5210, Apo, AE 09464 | 2005-09-09 |
| 1497902175 | Mark Anthony Killin | Social Worker | 48 Mdg, Unit 5210, Apo, AE 09461 | 2008-08-25 |
| 1700032257 | Amanda Jane Clark-andrejkovics | Social Worker | 48 Mdg, Unit 5210, Apo, AE 09461 | 2008-08-15 |
| 1033392659 | Gregory Neil Dunn | Anesthesiology | 48 Mdg, Unit 5210 Box 230, Apo, AE 09461-0230 | 2007-12-06 |
| 1770765885 | Helena Karin Albertin | Nurse Practitioner | 48 Mdg, Unit 5210 Box 230, Apo, AE 09461 | 2007-11-30 |
| 1154519817 | Concetta M Lombardo | Physician Assistant | 48 Mdg, Unit 5210 Box 230, Apo, AE 09461 | 2007-10-09 |
| 1780756726 | Daniel Lawrence Glazier | Occupational Therapist | 48 Mdg, Unit 5210 Box 230, Apo, AE 09461 | 2006-11-14 |
| 1326139304 | Joshua Luke Latham | Family Medicine | 48 Mdg, Unit 5210, Apo, AE 09461 | 2006-09-27 |
| 1801903034 | Jessica N Dean | Dentist | 48 Mdg, Unit 5210 Box 230, Apo, AE 09461 | 2006-08-24 |
| 1336110790 | Deanna Leanne Nuttbrock-allen | Psychologist | 48 Mdg, Unit 5210 Box 230, Apo, AE 09461 | 2006-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205387081 | Joshua Gratz | Military Health Care Provider | 48mdh/sghc Unit 5115, Apo, AE 09461 | 2016-10-17 |
| 1912394776 | Thomas Mark Bertagnoli | Pediatrics | Raf Lakenheath 48mdg, Unit 5115, Apo, AE 09461 | 2015-04-20 |
| 1376710780 | Katherine Jane Waggner | Pharmacist | Raf Lakenheath - Pharmacy, Apo, AE 09461 | 2008-05-14 |
| 1356539985 | Erin Campbell Bott | Physical Therapist | 48 Mdg Unit5210, Box 230, Apo, AE 09461 | 2007-10-09 |
| 1831249614 | Shannon Stewart Enold | Social Worker | 48 Mdg Sgohf, Unit 5210 Box 230, Apo, AE 09461 | 2007-01-12 |
| 1073674008 | Elizabeth Fort Copeland | Social Worker | Raf Lakenheath 48mdg/sghc, Unit 5115, Apo, AE 09461 | 2006-12-13 |
| 1104995109 | Robert Brown Woolley | Internal Medicine | Raf Lakenheath 48 Mdg/sghc Unit 5115, Apo, AE 09461 | 2006-11-06 |
| 1679592299 | Katheryn Willingham Ellis | Registered Nurse | 48 Mdg Sgobp, Unit 5210 Box 230, Apo, AE 09461 | 2006-07-18 |
| 1306885215 | Przemyslaw Konrad Niemczura | Dietitian, Registered | 48 Medical Group, Unit 5210, Apo, AE 09461 | 2006-06-06 |
| 1760450746 | Kathleen King Dobbs | Nurse Practitioner | 48 Mdg Unit 5210, Box 230, Apo, AE 09461 | 2006-03-08 |
| Find all providers in zip 09461 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1831708411 | Troy Nathan Thayer | Dentist | 1065 W Perimeter Rd J, Joint Base Andrews Air Force Base, Apo, AE 20732 | 2020-07-29 |
| 1891311379 | Jonathan Frederick Weaver | Dentist | Headquarters United States Army Dental Health Activity, 4323 Hill Street, Apo, AA 29207-6022 | 2020-06-22 |
| 1457975583 | Connor English | Dentist | Carius Dental Clinic Bldg#p3020, Apo, AP 96205-5244 | 2020-06-04 |
| 1275162877 | Gabi Im | Dentist | 1065 W Perimeter Rd., Joint Base Andrews, Apo, AA 20762 | 2020-04-06 |
| 1730735770 | Kai Steven Hatch | Dentist | 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 | 2019-08-15 |
| 1265093017 | Corby M Dixon | Dentist | Landstul Dental Health Activity, Bldg 3703, Rm 205, Apo, AE 09180 | 2019-06-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1972082451 | Mark Rutledge Mcshane | Dentist | 618th Dental Company (as), Usa Dentac-korea Unit #15660 Bldg # P 3020, Apo, AP 96271-5660 | 2018-08-07 |
| 1780163220 | Gina Wooyoung Paik | Dentist | Hq, 618th Dcas/dentac, Korea, Unit 15652, Apo, AP 96271 | 2018-08-07 |
| Find all providers in APO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.