Healthcare Provider Details

I. General information

NPI: 1386787893
Provider Name (Legal Business Name): DONALD JOSEPH TIHANSKY D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 ASTER LN
LEVITTOWN PA
19055-1224
US

IV. Provider business mailing address

2 ASTER LN
LEVITTOWN PA
19055-1224
US

V. Phone/Fax

Practice location:
  • Phone: 215-943-2080
  • Fax: 215-757-1073
Mailing address:
  • Phone: 215-943-2080
  • Fax: 215-757-1073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS014382L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: