# THOMAS BACKENSTOSE DMD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr. Thomas Backenstose PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033372412
- **Authorized official:** DR. THOMAS C. BACKENSTOSE JR. DMD (PRESIDENT)
- **Authorized official phone:** (215) 641-0641

## Contact information

- **Practice address:** 901 SUNSET DRIVE, BLUE BELL, PA 19422
- **Practice address phone:** (215) 641-0641
- **Mailing address:** 901 SUNSET DRIVE, BLUE BELL, PA 19422
- **Mailing address phone:** (215) 641-0641
- **Mailing address fax:** (215) 583-5222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | D10848 | MN | Yes |

## Other

- **Enumeration date:** 07/07/2008
- **Last updated:** 11/07/2016