Provider Demographics
NPI:1386796399
Name:TOTH, THOMAS M (DMD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:M
Last Name:TOTH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MCKNIGHT PARK DRIVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-6533
Mailing Address - Country:US
Mailing Address - Phone:412-366-9011
Mailing Address - Fax:412-366-0756
Practice Address - Street 1:100 MCKNIGHT PARK DRIVE
Practice Address - Street 2:SUITE 102
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-6533
Practice Address - Country:US
Practice Address - Phone:412-366-9011
Practice Address - Fax:412-366-0756
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS023285L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1034667Medicaid