Provider Demographics
NPI:1316045115
Name:IONNA, THOMAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:IONNA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6820 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-5734
Mailing Address - Country:US
Mailing Address - Phone:513-424-9669
Mailing Address - Fax:513-424-1736
Practice Address - Street 1:6820 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-5734
Practice Address - Country:US
Practice Address - Phone:513-424-9669
Practice Address - Fax:513-424-1736
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0167591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice