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NPI Code Detail

MEDICARE: DR. THOMAS ROSS CROMWELL D.D.S.

MEDICARE:  DR. THOMAS ROSS CROMWELL  D.D.S.
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
11223G0001XGeneral Practice Dentistry30-01-4277OH

General Provider Information

NPI Number : 1982711537
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS ROSS CROMWELL D.D.S.
Provider Business Mailing Address
First Line : PO BOX 407
Second Line :
City : WEST UNITY
State : OH
Zip : 43570-0407
Country : US
Telephone Number : 419-924-2615
Fax Number :
Provider Business Practice Location Address
First Line : 105 N. MAIN
Second Line :
City : WEST UNITY
State : OH
Zip : 43570-0407
Country : US
Telephone Number : 419-924-2615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 07/08/2007

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Directions to “ DR. THOMAS ROSS CROMWELL D.D.S.” Practice Location

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