Provider Demographics
NPI:1831133230
Name:TOMSIK, LLEONARD MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:LLEONARD
Middle Name:MICHAEL
Last Name:TOMSIK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 PEARL RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3813
Mailing Address - Country:US
Mailing Address - Phone:440-884-9898
Mailing Address - Fax:440-884-9030
Practice Address - Street 1:6500 PEARL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3813
Practice Address - Country:US
Practice Address - Phone:440-884-9898
Practice Address - Fax:440-884-9030
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH137701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice