NPI 1851462402 · live from the CMS NPI Registry
Thomas Dimassa, D.D.S., M.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Lakewood, OH. National Provider Identifier 1851462402, active.
NPI record
| NPI | 1851462402 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 15700 Madison Ave, Lakewood, OH 44107 |
| Practice phone | 216-521-9944 |
| Enumerated | November 13, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 30-01-7032 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.