DR. THOMAS ROBERT SANGIACOMO D.M.D. NPI 1942393905

NPI Information

NPI: 1942393905
Provider Name: DR. THOMAS ROBERT SANGIACOMO, D.M.D.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
102 N MAIN ST
CORTLAND, NY
ZIP 13045
Phone: (607) 753-0011
Get Directions

DR. Thomas Robert Sangiacomo, D.M.D. is an oral and maxillofacial surgery dentist in Cortland, NY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Thomas Robert Sangiacomo, D.M.D. NPI is 1942393905. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

102 N MAIN ST
CORTLAND, NY
ZIP 13045-208
Phone: (607) 753-0011
Fax: (607) 753-0573

The NPI 1942393905 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	050341-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	RA9124	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	T92561	MEDICARE UPIN	NEW YORK
3	02608097	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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