Thomas Gough, D.D.S

NPI 1871838227 · on the registry since 2012

Practice

Address: 1315 N Riverside Dr
Mchenry, IL 60050
Phone: (815) 385-1360
Fax: (815) 385-3879
Organisation at this address: Mchenry Dental Associates
Mchenry Dental Center, Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois