Thomas R. Sangiacomo DMD, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

150341-1 Issued in NY

Legal business name

THOMAS R. SANGIACOMO DMD, PC

Practice address

102 N Main St
Cortland, NY 13045-1208

Phone

(607) 753-0011

Fax

(607) 753-0573

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Robert Sangiacomo, DMDNPI 1942393905

Title

President

Phone

(607) 753-0011

Specialties & licenses 1

Addresses

Other names 1

• Cortland Oral Surgery Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Robert Sangiacomo, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Cortland, NY
  • NPI 1942393905
  NPD (past) Authorized official

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1336338995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N MAIN ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451208",
            "telephone_number": "607-753-0011",
            "fax_number": "607-753-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N MAIN ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451208",
            "telephone_number": "607-753-0011",
            "fax_number": "607-753-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R. SANGIACOMO DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "SANGIACOMO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-753-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "150341-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cortland Oral Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Doors of Perception LCSW, PLLC
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• William A Thoman, DDS
• Emily Elizabeth Stewart Thomas, LCSW
• Mimi S Thomas, RN
• Mollie Thomas, MASSAGE THERAPIST
• Jennifer Victoria Thompson, LMSW
• Patricia O. Thon, M.S. ED.

• Oral and Maxillofacial Surgery (Dentist) in Cortland, NY
• Providers in Cortland, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.