Provider Demographics
NPI:1609996032
Name:THOMAS J. ROGINSKY, DMD & MICHELE A. BERNARDICH, DMD, PC
Entity Type:Organization
Organization Name:THOMAS J. ROGINSKY, DMD & MICHELE A. BERNARDICH, DMD, PC
Other - Org Name:THOMAS J ROGINSKY DMD AND-OR MICHELE A BERNARDICH DMD, MSN
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ROGINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-262-5511
Mailing Address - Street 1:24 W 21ST ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:NORTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18067-1268
Mailing Address - Country:US
Mailing Address - Phone:610-262-5511
Mailing Address - Fax:610-262-9623
Practice Address - Street 1:24 W 21ST ST
Practice Address - Street 2:SUITE 104
Practice Address - City:NORTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18067-1268
Practice Address - Country:US
Practice Address - Phone:610-262-5511
Practice Address - Fax:610-262-9623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Not Answered1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty