Dr THOMAS W FONNER DDS is a male medical professional, specializing in Maxillofacial Surgery. He graduated in 1995 from Southern Illinois Univ School Of Dental Medicine.
100 GREENVIEW DR SUTIE B
EFFINGHAM
IL
624013048
Tel:
| Npi | 1205907581 |
| Pac Id | 8921009069 |
| Professional Enrollment Id | I20070116000508 |
| Last Name | FONNER |
| First Name | THOMAS |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | DDS |
| Medical School Name | SOUTHERN ILLINOIS UNIV SCHOOL OF DENTAL MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
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| Line 1 Street Address | 100 GREENVIEW DR SUTIE B |
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| City | EFFINGHAM |
| State | IL |
| Zip Code | 624013048 |
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| Hospital Affiliation Ccn 1 | 140032 |
| Hospital Affiliation Lbn 1 | ST ANTHONYS MEMORIAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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