Provider Demographics
NPI:1457531931
Name:CHERMOL, THOMAS LAWRENCE JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:LAWRENCE
Last Name:CHERMOL
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:500 W TOWNSHIP LINE RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083
Mailing Address - Country:US
Mailing Address - Phone:610-446-3903
Mailing Address - Fax:610-446-3905
Practice Address - Street 1:801 YALE AVE
Practice Address - Street 2:SUITE 518
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081
Practice Address - Country:US
Practice Address - Phone:610-328-0520
Practice Address - Fax:610-328-3730
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024041L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice