Thomas D. Vanosdol,DDS,Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THOMAS D. VANOSDOL,DDS,INC

Practice address

2283 Provident CT
Warsaw, IN 46580-3215

Phone

(574) 267-7017

Fax

(574) 267-4337

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Dean Vanosdol, DDS

Title

President

Phone

(574) 267-7017

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710055942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2283 PROVIDENT CT",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803215",
            "telephone_number": "574-267-7017",
            "fax_number": "574-267-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2283 PROVIDENT CT",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803215",
            "telephone_number": "574-267-7017",
            "fax_number": "574-267-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS D. VANOSDOL,DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANOSDOL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-267-7017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Warsaw, IN
• Providers in Warsaw, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.