Thomas Joseph Madl in Harrison - Pediatric Dentistry

Thomas Joseph Madl - NPI 1720145832

Thomas Joseph Madl is a Pediatric Dentistry in Harrison, Ohio. Thomas Joseph Madl practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Thomas Joseph Madl is 1720145832. The last update date is 2007-07-09.

Thomas Joseph Madl's current location address is 1003 Harrison Ave, Harrison, Ohio. You can contact this provider via phone number 5133674048 and fax number 5133674068. The mailing address for Thomas Joseph Madl is 1003 Harrison Ave, Harrison, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Joseph Madl
Address 1003 Harrison Ave, Harrison, Ohio
Phone Number 5133674048
Fax Number 5133674068
Sole Proprietor Y
Credentials D.M.D

NPI Number Detail

NPI Number 1720145832
Provider Enumeration Date 2007-01-02
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1003 Harrison Ave
City Harrison
State Ohio (OH)
Post Code 450301799
Phone Number 5133674048
Fax Number 5133674068

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 30020664
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2038244 OH --

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FAQs about Thomas Joseph Madl

What is the unique identifier code issued to Thomas Joseph Madl by the Centers for Medicare & Medicaid Services?

The Thomas Joseph Madl has been assigned the NPI (National Provider Identifier) 1720145832. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Thomas Joseph Madl's physical address?

The Thomas Joseph Madl is physically located at 1003 Harrison Ave, in the city of Harrison, OH, with the postal code 450301799.

What is Thomas Joseph Madl's area of expertise and its corresponding taxonomy classification?

The Thomas Joseph Madl's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.

On what date did the Thomas Joseph Madl receive its 1720145832 assignment from the Centers for Medicare & Medicaid Services?

The Thomas Joseph Madl was assigned its 1720145832 by the Centers for Medicare & Medicaid Services on 2007-01-02.

When was the information pertaining to Thomas Joseph Madl most recently updated or revised?

The details related to Thomas Joseph Madl, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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