John a Tomasino Jr DDS PC

Organization Active NPI General Practice Dentistry · Morrison, IL

NPI 1700323375 · NPPES record last updated Jan 20, 2017

Key facts

NPI
1700323375
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
019018094 (IL)
Legal business name
JOHN A TOMASINO JR DDS PC
Practice address
200 E Main St
Morrison, IL 61270-2849
Phone
(815) 772-2811
Fax
(815) 772-3606
NPI assigned
Jan 20, 2017
Organization subpart
No

Authorized official

Name
Dr. John Arthur Tomasino Jr., DDS
Title
President
Phone
(815) 772-2811

Practitioners 1

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

National Provider Directory

Locations

200 E Main St
Morrison, IL 61270
Phone (815) 772-2811

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 019018094 IL Yes

Addresses

Primary practice location

200 E Main St
Morrison, IL 61270-2849

Mailing address

200 E Main St
Morrison, IL 61270-2849
Phone (815) 772-2811

Other providers in Morrison, IL

All providers in Morrison, IL · General Practice Dentistry in Illinois

Sources for this page

Verify at the official NPI Registry.