Provider Demographics
NPI:1376095828
Name:GREGORY J TOONE DDS PC
Entity Type:Organization
Organization Name:GREGORY J TOONE DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY J
Authorized Official - Middle Name:
Authorized Official - Last Name:TOONE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:434-239-8222
Mailing Address - Street 1:105 CANDLEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-2654
Mailing Address - Country:US
Mailing Address - Phone:434-239-8222
Mailing Address - Fax:434-239-3199
Practice Address - Street 1:105 CANDLEWOOD CT
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502
Practice Address - Country:US
Practice Address - Phone:434-239-8222
Practice Address - Fax:434-238-3199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-01
Last Update Date:2016-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401410977122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty