| Thomas J Donahue | |
|
40 Main St Dallas PA 18612-1804 | |
| (570) 674-7474 | |
| (570) 674-2984 |
| Full Name | Thomas J Donahue |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 40 Main St, Dallas, Pennsylvania |
| Authorized Official Name and Position | Janel Puskar (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 5706747474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Donahue 40 Main St Dallas PA 18612-1804 Ph: (570) 674-7474 | Thomas J Donahue 40 Main St Dallas PA 18612-1804 Ph: (570) 674-7474 |
| NPI Number | 1356071161 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 06/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356071161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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