Thomas J Kilgannon III DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

377071 Issued in NY

Legal business name

THOMAS J KILGANNON III DDS PC

Practice address

165 Washington Street
Tappan, NY 10983

Phone

(845) 359-7654

Fax

(845) 359-7656

NPI assigned

Jul 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Joseph Kilgannon III, DDS

Title

Owner

Phone

(845) 359-7654

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, and the practitioner matching its NPPES authorized official.

• Jessica M Bonifate, D.D.S

  • Dentist
  • Bronxville, NY
  • NPI 1033409115
  NPD (past)
• Susan Chen, D.D.S.

  • Dentist
  • Tappan, NY
  • NPI 1801136312
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952333619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 WASHINGTON STREET",
            "city": "TAPPAN",
            "state": "NY",
            "postal_code": "10983",
            "telephone_number": "845-359-7654",
            "fax_number": "845-359-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WASHINGTON STREET",
            "city": "TAPPAN",
            "state": "NY",
            "postal_code": "10983",
            "telephone_number": "845-359-7654",
            "fax_number": "845-359-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J KILGANNON III DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KILGANNON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-359-7654",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "377071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer M Sullivan
• Juncan Sun
• Joanna Valliant, M.S.ED., BCBA, LBA
• Steven L Ventrudo, MD
• Olga Vyshnevsky, DMD
• Walgreen Co (Walgreens #16064)
• Denise Marie Weigand, RN

• Dentist in Tappan, NY
• Providers in Tappan, NY by specialty
• Dentist in New York

• 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.