Individual
THOMAS P SYDLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1850 EASTGATE RD, STE A, TOLEDO, OH 43614-3082
(419) 385-5743
(419) 385-8835
Mailing address
4646 NANTUCKET DR, TOLEDO, OH 43623-3194
(419) 843-2121
(419) 517-2104
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30-01-7551
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127872
ANTHEM BC
OH
05
—
0576112
—
OH
01
—
190009411
RR MEDICARE
OH
01
—
850000129
RR MEDICARE
OH
Enumeration date
08/16/2005
Last updated
06/07/2011
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