Thomas Joseph Dececco, DMD
Individual provider Active NPI General Practice Dentistry · Youngwood, PA
NPI 1326110321 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1326110321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS023149L (PA)
- Practice address
- 217 North Fifth Street
Youngwood, PA 15697-1317 - Phone
- (724) 925-7042
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS023149L | PA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS023149L | PA | Yes |
Addresses
Primary practice location
217 North Fifth Street
Youngwood, PA 15697-1317
Mailing address
545 Willow Drive
Greensburg, PA 15601-4435
Phone (724) 832-7527
Other providers in Youngwood, PA
- Christofano Associates LLC
- Christofano Associates LLC
- Christofano Associates LLC
- Edward L Christofano
- Derek Colgan
- Dr. David J. Mondock DMD PC
- Lauren Nicole Elda
- Excela Health Physician Practices, Inc.
- Excela Health Physician Practices, Inc.
- Excela Health Physician Practices, Inc.
All providers in Youngwood, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.