Provider Demographics
NPI:1255501979
Name:JOHN E. TOZER, DMD, PA
Entity Type:Organization
Organization Name:JOHN E. TOZER, DMD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:TOZER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:207-945-5300
Mailing Address - Street 1:743 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-3225
Mailing Address - Country:US
Mailing Address - Phone:207-945-5300
Mailing Address - Fax:207-942-3465
Practice Address - Street 1:743 BROADWAY
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-3225
Practice Address - Country:US
Practice Address - Phone:207-945-5300
Practice Address - Fax:207-942-3465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty