Provider Demographics
NPI:1437763414
Name:TOMAYKO DENTISTRY P.L.L.C.
Entity Type:Organization
Organization Name:TOMAYKO DENTISTRY P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMAYKO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-549-6336
Mailing Address - Street 1:116 6TH ST
Mailing Address - Street 2:
Mailing Address - City:CLYMER
Mailing Address - State:PA
Mailing Address - Zip Code:15728-1189
Mailing Address - Country:US
Mailing Address - Phone:724-254-9669
Mailing Address - Fax:
Practice Address - Street 1:116 6TH ST
Practice Address - Street 2:
Practice Address - City:CLYMER
Practice Address - State:PA
Practice Address - Zip Code:15728-1189
Practice Address - Country:US
Practice Address - Phone:724-254-9669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-07
Last Update Date:2020-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental