Provider Demographics
NPI:1689449050
Name:TOMLINSON FAMILY & COSMETIC DENTISTRY, PC
Entity Type:Organization
Organization Name:TOMLINSON FAMILY & COSMETIC DENTISTRY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMLINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:229-242-5511
Mailing Address - Street 1:2310 N PATTERSON ST BLDG E
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-2500
Mailing Address - Country:US
Mailing Address - Phone:229-242-5511
Mailing Address - Fax:229-262-7882
Practice Address - Street 1:2310 N PATTERSON ST BLDG E
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-2500
Practice Address - Country:US
Practice Address - Phone:229-242-5511
Practice Address - Fax:229-262-7882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental