Provider Demographics
NPI:1346389640
Name:THOMAS P, KEARNS, D.D.S.PC
Entity Type:Organization
Organization Name:THOMAS P, KEARNS, D.D.S.PC
Other - Org Name:ASSOCIATED DENTAL ARTS OF OSWEGO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:KEARNS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:315-343-2450
Mailing Address - Street 1:327 W SENECA ST
Mailing Address - Street 2:P.O. BOX 850
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-1860
Mailing Address - Country:US
Mailing Address - Phone:315-343-2450
Mailing Address - Fax:315-343-2839
Practice Address - Street 1:327 W SENECA ST
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-1860
Practice Address - Country:US
Practice Address - Phone:315-343-2450
Practice Address - Fax:315-343-2839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042954-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty