Provider Demographics
NPI:1942210331
Name:CHOLANKERIL, THOMAS V (BDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:V
Last Name:CHOLANKERIL
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4303 BYRON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-1607
Mailing Address - Country:US
Mailing Address - Phone:718-994-6200
Mailing Address - Fax:718-324-2480
Practice Address - Street 1:4303 BYRON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-1607
Practice Address - Country:US
Practice Address - Phone:718-994-6200
Practice Address - Fax:718-324-2480
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0389301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice