Provider Demographics
NPI:1942570734
Name:JOSEPH A.TAMAGNA DDS PC
Entity Type:Organization
Organization Name:JOSEPH A.TAMAGNA DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:TAMAGNA
Authorized Official - Suffix:
Authorized Official - Credentials:DDSOWNER
Authorized Official - Phone:914-235-9316
Mailing Address - Street 1:421 HUGUENOT ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-7004
Mailing Address - Country:US
Mailing Address - Phone:914-235-9316
Mailing Address - Fax:914-235-9316
Practice Address - Street 1:421 HUGUENOT ST
Practice Address - Street 2:SUITE 11
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-7004
Practice Address - Country:US
Practice Address - Phone:914-235-9316
Practice Address - Fax:914-235-9316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0246851223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty