Healthcare Provider Details

I. General information

NPI: 1275516833
Provider Name (Legal Business Name): THOMAS CHARLES PATTON DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 MOHAWK SCHOOL RD
NEW CASTLE PA
16102-3111
US

IV. Provider business mailing address

232 PATTON LN
EDINBURG PA
16116-4928
US

V. Phone/Fax

Practice location:
  • Phone: 724-667-7878
  • Fax: 724-667-7878
Mailing address:
  • Phone: 724-658-5846
  • Fax: 724-658-5846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS 024278-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: