Organization
CEDAR VILLAGE DENTISTRY, THOMAS DOOLEY, DMD-LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS R. DOOLEY DMD (DENTIST/OWNER)
(513) 770-4370
Entity
Organization
Contact information
Practice address
5212 CEDAR VILLAGE DR, MASON, OH 45040-6793
(513) 770-4370
(513) 770-4325
Mailing address
5212 CEDAR VILLAGE DR, MASON, OH 45040-6793
(513) 770-4370
(513) 770-4325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30024242
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215340476
NPI THOMAS DOOLEY
OH
Enumeration date
07/31/2017
Last updated
07/21/2022
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