Provider Demographics
NPI:1114982873
Name:CWALINA, THOMAS FRANK (DMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:FRANK
Last Name:CWALINA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 744
Mailing Address - Street 2:
Mailing Address - City:INGOMAR
Mailing Address - State:PA
Mailing Address - Zip Code:15127-0744
Mailing Address - Country:US
Mailing Address - Phone:412-635-0613
Mailing Address - Fax:412-635-8342
Practice Address - Street 1:257 PITTSBURGH RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16002-3953
Practice Address - Country:US
Practice Address - Phone:412-635-0613
Practice Address - Fax:412-635-8342
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2019-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026026L1223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDentist Anesthesiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1027366110001Medicaid
PA1012353720001Medicaid
U08625Medicare UPIN