Organization Name: | THOMAS FAMILY DENTAL II LLC |
NPI Number: | 1619369741 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY L MARINO (OFFICE MANAGER) |
Mailing Address: | 137 Fallowfield Ave Charleroi |
State: | PA US |
Postal Code: | 150221402 |
Phone Number: | 7244834462 |
Fax Number: | 7245657597 |
NPI Enumeration Date: | 02/26/2015 |
NPI Last Update Date: | 02/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | DS027841-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |