Provider Demographics
NPI:1407983521
Name:TOMB, RAYMOND V (DMD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:V
Last Name:TOMB
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 MAYFAIR DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1144
Mailing Address - Country:US
Mailing Address - Phone:412-563-5773
Mailing Address - Fax:
Practice Address - Street 1:4880 LIBRARY RD
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-2946
Practice Address - Country:US
Practice Address - Phone:412-831-9700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018491L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist