Provider Demographics
NPI:1225026040
Name:DREWITZ, THOMAS CASEY (DMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CASEY
Last Name:DREWITZ
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 1:829 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-3822
Mailing Address - Country:US
Mailing Address - Phone:724-228-0950
Mailing Address - Fax:724-228-4239
Practice Address - Street 1:829 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-3822
Practice Address - Country:US
Practice Address - Phone:724-228-0950
Practice Address - Fax:724-228-4239
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018890L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice