Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Thomas R Douglas, DDS

Individual provider Dentist · NPI 1023114071

Dr. Thomas R Douglas, DDS is a Dentist in Nesconset, New York. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

308 Gibbs Pond Rd
Nesconset, NY 11767-2200
Phone: (631) 585-3130
Fax: (631) 585-3136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence NY0477140 (NY)
Dentist Taxonomy 122300000X · Licence NJ22D102047200 (NJ)

Record details

NPI number1023114071
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 16, 2006
Last updated in NPPESJuly 8, 2007

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