MEDICARE: TC DENTAL PLLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1205719663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TC DENTAL PLLC

Provider Business Mailing Address
First Line	:	404 FARNSWORTH DR
Second Line	:
City	:	BROOMALL
State	:	PA
Zip	:	19008-4140
Country	:	US
Telephone Number	:	484-343-6075
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 N CHARLOTTE ST
Second Line	:
City	:	POTTSTOWN
State	:	PA
Zip	:	19464-4645
Country	:	US
Telephone Number	:	484-343-6075
Fax Number	:

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	DR. TOMMY CAO
Credential	:	DMD
Telephone Number	:	484-343-6075

Provider Enumeration Date	:	07/30/2025
Last Update Date	:	07/30/2025

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