Provider Demographics
NPI:1922294685
Name:O.M.S. ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:O.M.S. ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCKEON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:860-482-5779
Mailing Address - Street 1:1 TORRINGTON PLAZA
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790
Mailing Address - Country:US
Mailing Address - Phone:860-482-5779
Mailing Address - Fax:860-496-2345
Practice Address - Street 1:1 TORRINGTON PLAZA
Practice Address - Street 2:SUITE 103
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790
Practice Address - Country:US
Practice Address - Phone:860-482-5779
Practice Address - Fax:860-496-2345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-17
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT74901223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT190000385Medicare PIN
CT190000704Medicare PIN
190000703Medicare PIN