Provider Demographics
NPI:1376658666
Name:TOMSIC, ALBERT L JR (DMD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:L
Last Name:TOMSIC
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4725 MCKNIGHT RD STE 222
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-3414
Mailing Address - Country:US
Mailing Address - Phone:412-366-6990
Mailing Address - Fax:412-366-7577
Practice Address - Street 1:167 EAST PIKE STREET
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317
Practice Address - Country:US
Practice Address - Phone:724-745-1666
Practice Address - Fax:724-745-5072
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0257871L1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000025781OtherDELTA DENTAL
PA519732OtherUNITED CONCORDIA