Thomas K Mun, DDS | |
2725 Lincoln St E, Canton, OH 44707-2769 | |
(330) 454-2000 | |
Not Available |
Full Name | Thomas K Mun |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 2725 Lincoln St E, Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154547362 | NPI | - | NPPES |
2037076 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 20429 (Ohio) | Primary |
Entity Name | Lifecare Family Health And Dental Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013964923 PECOS PAC ID: 7315959483 Enrollment ID: O20131031001454 |
Mailing Address | Practice Location Address |
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Thomas K Mun, DDS 2725 Lincoln St E, Canton, OH 44707-2769 Ph: (330) 454-2000 | Thomas K Mun, DDS 2725 Lincoln St E, Canton, OH 44707-2769 Ph: (330) 454-2000 |
Gerard J Bruno, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4573 Everhard Rd Nw, Canton, OH 44718 Phone: 330-499-2000 Fax: 330-499-2000 | |
Dr. Bruce E Treiber, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2221 Whipple Ave Nw, Canton, OH 44708 Phone: 330-478-4949 Fax: 330-478-9490 | |
Dr. Marissa Mikolich, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4100 Belden Village Mall, Canton, OH 44718 Phone: 330-494-7051 | |
Dr. Shelly L Boss, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4097 Fulton Dr Nw, Canton, OH 44718 Phone: 330-492-1730 | |
Dr. Thomas Robert Kaufholz, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4550 Belden Village St Nw, Canton, OH 44718 Phone: 330-499-4600 Fax: 330-491-8179 | |
Lyle Eugene Mcgaughey Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5872 Fulton Rd Nw, Canton, OH 44718 Phone: 330-499-2388 Fax: 330-499-2388 | |
Dr. Kevin Sivaneri, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000 |