# THOMAS D. VANOSDOL,DDS,INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710055942
- **Authorized official:** DR. THOMAS DEAN VANOSDOL DDS (PRESIDENT)
- **Authorized official phone:** (574) 267-7017

## Contact information

- **Practice address:** 2283 PROVIDENT CT, WARSAW, IN 46580-3215
- **Practice address phone:** (574) 267-7017
- **Practice address fax:** (574) 267-4337
- **Mailing address:** 2283 PROVIDENT CT, WARSAW, IN 46580-3215
- **Mailing address phone:** (574) 267-7017
- **Mailing address fax:** (574) 267-4337

## Taxonomy

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

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 08/22/2020