Provider Demographics
NPI:1114490075
Name:TOMASE DENTAL CARE
Entity Type:Organization
Organization Name:TOMASE DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMASE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:419-474-5858
Mailing Address - Street 1:7616 KINGS POINTE RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43617-1500
Mailing Address - Country:US
Mailing Address - Phone:419-474-5858
Mailing Address - Fax:419-474-5818
Practice Address - Street 1:7616 KINGS POINTE RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-1500
Practice Address - Country:US
Practice Address - Phone:419-474-5858
Practice Address - Fax:419-474-5818
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOMASE DENTAL CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies