| Thomas J Kilgannon Iii Dds Pc | |
|
165 Washington Street Tappan NY 10983 | |
| (845) 359-7654 | |
| (845) 359-7656 |
| Full Name | Thomas J Kilgannon Iii Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 165 Washington Street, Tappan, New York |
| Authorized Official Name and Position | Thomas Joseph Kilgannon (OWNER) |
| Authorized Official Contact | 8453597654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Kilgannon Iii Dds Pc 165 Washington Street Tappan NY 10983 Ph: (845) 359-7654 | Thomas J Kilgannon Iii Dds Pc 165 Washington Street Tappan NY 10983 Ph: (845) 359-7654 |
| NPI Number | 1952333619 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952333619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 377071 (New York) | Primary |
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