Tomassetti, James J

Tomassetti, James J is an individual health care provider with primary practice located at 2310 E Evergreen Dr Suite B, Appleton WI 54913-7404. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Tomassetti, James J can be contacted via phone (920) 738-7600.

Contact Information

Primary practice address
2310 E Evergreen Dr Suite B Appleton WI 54913-7404
Phone: (920) 738-7600
Fax: (920) 738-6690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 5699 Wisconsin

Profile Details

NPI number 1700896974
LBN Legal business name Tomassetti, James J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700896974 NPPES
Wisconsin MEDICAID 33789000

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