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Dr. Thomas W Fonner, DMD
Oral and Maxillofacial Surgery (Dentist) in Effingham, Illinois
NPI 1205907581

Thomas W Fonner is a Oral and Maxillofacial Surgery (Dentist) based in Effingham, IL and is specialized in Oral and Maxillofacial Surgery. Thomas W Fonner practices in Effingham, IL and has the professional credentials of DMD. The NPI Number for Thomas W Fonner is 1205907581 and holds a License No. 019-024942 (Illinois).

The current practice location address for Thomas W Fonner is 100 Greenview Dr Ste B, Effingham, IL and can be reached out via phone at 217-540-5348 and via fax at 217-540-5360.

Location: 100 Greenview Dr Ste B, Effingham, IL, 62401-3048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205907581
Provider Name
Thomas W Fonner
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
100 Greenview Dr Ste B, Effingham, IL, 62401-3048
Phone Number
217-540-5348
Fax Number
217-540-5360
Provider Enumeration Date
11/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1014426 05 IL
institution
Provider Business Practice Location Address Details
Address
100 Greenview Dr Ste B
City
Effingham
State
Illinois
Zip
62401-3048
Phone Number
217-540-5348
Fax Number
217-540-5360
person
Provider Business Mailing Address Details
Address
100 Greenview Dr Ste B
City
Effingham
State
Illinois
Zip
62401-3048
Phone Number
217-540-5348
Fax Number
217-540-5360
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
019-024942 (Illinois)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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