Provider Demographics
NPI:1457060147
Name:NORWIN FAMILY DENTAL
Entity Type:Organization
Organization Name:NORWIN FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:DIAS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-590-5289
Mailing Address - Street 1:10261 CENTER HWY
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-2054
Mailing Address - Country:US
Mailing Address - Phone:724-590-5289
Mailing Address - Fax:
Practice Address - Street 1:10261 CENTER HWY
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-2054
Practice Address - Country:US
Practice Address - Phone:724-590-5289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty