Thomas Family Dental I LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

DS027780-L Issued in PA

Legal business name

THOMAS FAMILY DENTAL I LLC

Practice address

3506 Washington Ave
Finleyville, PA 15332-1328

Phone

(724) 348-7681

Fax

(724) 348-7259

NPI assigned

Feb 26, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Kelly L Marino

Title

Office Manager

Phone

(724) 348-7681

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Sherri Fortsch-Thomas, DMD

  • General Practice Dentistry
  • Finleyville, PA
  • NPI 1891875837
  NPD (past)
• Dale R Thomas, DMD

  • General Practice Dentistry
  • Finleyville, PA
  • NPI 1164504676
  NPD (past)

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1932591054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 WASHINGTON AVE",
            "address_2": "PO BOX 128",
            "city": "FINLEYVILLE",
            "state": "PA",
            "postal_code": "153321328",
            "telephone_number": "724-348-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 WASHINGTON AVE",
            "city": "FINLEYVILLE",
            "state": "PA",
            "postal_code": "153321328",
            "telephone_number": "724-348-7681",
            "fax_number": "724-348-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS FAMILY DENTAL I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-348-7681",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PA",
            "license": "DS027780-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Pukansky, RPH
• Fortino Luigi Rigano
• Robert J. Jenkins, Jr., M.D., LTD.
• Saradha Sharma, CRNP
• Thomas M. Sisk, M.D.
• Dale R Thomas, DMD
• Wendy Lynn Wieclaw, NP-C
• Christine Wittman, D.C.
• Woodruff Contracting LLC

• Health Maintenance Organization in Finleyville, PA
• Providers in Finleyville, PA by specialty
• Health Maintenance Organization in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.