Provider Demographics
NPI:1558373225
Name:DILAURO, THOMAS S (DMD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:S
Last Name:DILAURO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DE MERCURIO DRIVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:ALLENDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07401-1717
Mailing Address - Country:US
Mailing Address - Phone:201-825-9229
Mailing Address - Fax:201-934-1820
Practice Address - Street 1:1 DE MERCURIO DR
Practice Address - Street 2:SUITE 7
Practice Address - City:ALLENDALE
Practice Address - State:NJ
Practice Address - Zip Code:07401-1717
Practice Address - Country:US
Practice Address - Phone:201-825-9229
Practice Address - Fax:201-934-1820
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI011388122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist