| Thomas D. Vanosdol,dds,inc | |
|
2283 Provident Ct Warsaw IN 46580-3215 | |
| (574) 267-7017 | |
| (574) 267-4337 |
| Full Name | Thomas D. Vanosdol,dds,inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2283 Provident Ct, Warsaw, Indiana |
| Authorized Official Name and Position | Thomas Dean Vanosdol (PRESIDENT) |
| Authorized Official Contact | 5742677017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas D. Vanosdol,dds,inc 2283 Provident Ct Warsaw IN 46580-3215 Ph: (574) 267-7017 | Thomas D. Vanosdol,dds,inc 2283 Provident Ct Warsaw IN 46580-3215 Ph: (574) 267-7017 |
| NPI Number | 1710055942 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710055942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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