Thomas G Ison DMD LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

THOMAS G ISON DMD LLC

Practice address

8966 Ruffian LN
Newburgh, IN 47630-3424

Phone

(812) 490-8070

Fax

(812) 490-8072

NPI assigned

Oct 7, 2024

Organization subpart

No

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

Authorized official

Name

Thomas G Ison, DMDNPI 1831188382

Title

Owner/ Dentist

Phone

(812) 490-8070

Specialties & licenses 1

Addresses

Other names 1

• PEDIATRIC DENTISTRY OF NEWBURGH Doing business as

Locations

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

• Thomas Glenn Ison, DMD

  • Pediatric Dentistry
  • Newburgh, IN
  • NPI 1831188382
  NPD Authorized official

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1760201784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8966 RUFFIAN LN",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303424",
            "telephone_number": "812-490-8070",
            "fax_number": "812-490-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8966 RUFFIAN LN",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303424",
            "telephone_number": "812-490-8070",
            "fax_number": "812-490-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS G ISON DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "ISON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "812-490-8070",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDIATRIC DENTISTRY OF NEWBURGH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Newburgh, IN
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.