Thomas Michael Persico, D.M.D.
Individual provider Active NPI General Practice Dentistry · Monessen, PA
NPI 1912978271 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1912978271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS018597L (PA)
- Practice address
- 15 Eastgate
Monessen, PA 15062-1387 - Phone
- (724) 684-4020
- Fax
- (724) 684-6406
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS018597L | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cicchini Dental, LLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS018597L | PA | Yes |
Addresses
Primary practice location
15 Eastgate
Monessen, PA 15062-1387
Mailing address
1323 Rostraver St
Monessen, PA 15062-1901
Phone (724) 684-4435
Other providers in Monessen, PA
- Monessen City School District
- Marian Myers
- Jasmine Naccarato
- Rachel Nicodemus
- Chapree Lauren Pagliari
- Sanketh Proddutur
- Christina Pust
- Restore Physical Therapy, LLC
- Brenda Kay Rice
- Rite Aid of Pennsylvania LLC
All providers in Monessen, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.