Thanh T Mollica, DDS, PA-C is a
Dentist based in Canton, Ohio. Thanh T Mollica is licensed to practice in Ohio (license number 30.024762) and her current practice location is
1320 Mercy Dr Nw, Canton, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 489-1000.
NPI number for Thanh T Mollica is 1912988163 and her current mailing address is 1320 Mercy Dr Nw, Canton, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912988163.
Provider's Profile
| Full Name | Thanh T Mollica |
|---|
| Gender | Female |
|---|
| Speciality | Dentist |
|---|
| Location | 1320 Mercy Dr Nw, Canton, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912988163
- Provider Enumeration Date: 11/07/2005
- Last Update Date: 12/02/2021
Medical Identifiers
Medical identifiers for Thanh T Mollica such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912988163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 50-002308 (Ohio) | Secondary |
| 122300000X | Dentist | RES3745 (Ohio) | Secondary |
| 122300000X | Dentist | 30.024762 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thanh T Mollica is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Thanh T Mollica, DDS, PA-C 1320 Mercy Dr Nw, Canton, OH 44708-2614 Ph: (330) 489-1000 | Thanh T Mollica, DDS, PA-C 1320 Mercy Dr Nw, Canton, OH 44708-2614 Ph: (330) 489-1000 |
Reviews and Comments