Provider Demographics
NPI:1609184373
Name:TND ASSOCIATES, INC.
Entity Type:Organization
Organization Name:TND ASSOCIATES, INC.
Other - Org Name:DENTACARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:H
Authorized Official - Last Name:YONG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:262-619-1949
Mailing Address - Street 1:4915 WASHINGTON AVE
Mailing Address - Street 2:SUITE B.
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53406-4221
Mailing Address - Country:US
Mailing Address - Phone:262-619-1949
Mailing Address - Fax:262-619-1959
Practice Address - Street 1:4915 WASHINGTON AVE
Practice Address - Street 2:SUITE B.
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53406-4221
Practice Address - Country:US
Practice Address - Phone:262-619-1949
Practice Address - Fax:262-619-1959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6324-015122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty