Individual
DR. JAMES J TOMASSETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2310 E EVERGREEN DR, SUITE B, APPLETON, WI 54913-7404
(920) 738-7600
(920) 738-6690
Mailing address
2310 E EVERGREEN DR, SUITE B, APPLETON, WI 54913-7404
(920) 738-7600
(920) 738-6690
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5699
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33789000
—
WI
Enumeration date
08/09/2006
Last updated
03/07/2023
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