Thomas T Tabachnick, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5000840015 Issued in WI

Practice address

412 E Longview Dr
Suite C
Appleton, WI 54911-2168

Phone

(920) 427-6465

Fax

(920) 991-2517

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303516800000",
    "number": "1871666065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 W OLD SLEIGH LN",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137174",
            "telephone_number": "920-427-6465",
            "fax_number": "920-991-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E LONGVIEW DR",
            "address_2": "SUITE C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112168",
            "telephone_number": "920-427-6465",
            "fax_number": "920-991-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABACHNICK",
        "first_name": "THOMAS",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "5000840015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Szemborski, LPC
• Jamie Marcel Szymanski, LP
• Monica S Szymanski, APNP
• Justin Szymczak, PHARM.D.
• Anna J Szyperek, LPC
• Emily Taft, SLP-CF
• Elizabeth Talcott, SAC-IT
• Orlando Angelo Lizardo Taleon, MD
• Thomas M Tamlyn, MD
• Alaina Michelle Tanck, DNP APNP

• All providers in Appleton, WI
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2011; 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.