Maryjo Marro-Tobin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

046826 Issued in NY

Practice address

6200 Slocum Rd
Ontario, NY 14519-9142

Phone

(315) 524-7433

Fax

(315) 524-2920

NPI assigned

Jul 26, 2006

Last updated

Nov 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Maryjo Tobin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crombach & Gilson DDS PC

  dba Gilson & Crilly DDS

  • Dental Clinic/Center
  • Ontario, NY
  • NPI 1538826144
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1093738338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SLOCUM RD",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "145199142",
            "telephone_number": "315-524-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SLOCUM RD",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "145199142",
            "telephone_number": "315-524-7433",
            "fax_number": "315-524-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRO-TOBIN",
        "first_name": "MARYJO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "046826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYJO",
            "last_name": "TOBIN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amanda Lynn Kyper, LPN
• Danielle N Legg, LMSW
• Jessica Loftus-Fell
• Heather L Malone, SLP-MS-CCC
• Angela Marcellus, RN
• Maxine McDonald, LCSW-R, CASAC
• Meghan McQuade, LMHC
• Sueann Marie Meddaugh, REGISTERED NURSE
• Amanda Miller, LMHC
• Shaylyn Murphy, LMSW

• Dentist in Ontario, NY
• Providers in Ontario, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.