Provider Demographics
NPI:1922027903
Name:TORMEY, DONALD PATRICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:PATRICK
Last Name:TORMEY
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 1:220 LAGUNA RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-2523
Mailing Address - Country:US
Mailing Address - Phone:714-871-0300
Mailing Address - Fax:714-871-3522
Practice Address - Street 1:220 LAGUNA RD
Practice Address - Street 2:SUITE #1
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-2523
Practice Address - Country:US
Practice Address - Phone:714-871-0300
Practice Address - Fax:714-871-3522
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA151511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice