MEDICARE: THOMAS TOUHEY DDS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1093272098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS TOUHEY DDS INC

Provider Business Mailing Address
First Line	:	20390 LORAIN RD
Second Line	:
City	:	FAIRVIEW PARK
State	:	OH
Zip	:	44126-3411
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20390 LORAIN RD
Second Line	:
City	:	FAIRVIEW PARK
State	:	OH
Zip	:	44126-3411
Country	:	US
Telephone Number	:	440-895-1627
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	THOMAS TOUHEY
Credential	:
Telephone Number	:	440-895-1627

Provider Enumeration Date	:	02/26/2019
Last Update Date	:	02/26/2019

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