Provider Demographics
NPI:1033674106
Name:TAGS INC
Entity Type:Organization
Organization Name:TAGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SAITTA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:417-882-0987
Mailing Address - Street 1:1557 E PRIMROSE ST STE 116
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-7916
Mailing Address - Country:US
Mailing Address - Phone:417-882-0987
Mailing Address - Fax:
Practice Address - Street 1:1557 E PRIMROSE ST STE 116
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-7916
Practice Address - Country:US
Practice Address - Phone:417-882-0987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty