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Contact Information

THOMAS C BACKENSTOSE JR, DMD
7 N COLUMBUS BLVD APT 238
PHILADELPHIA, PA19106-1421
 Phone: 612-802-4697
 Fax: 215-583-5222
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for THOMAS C BACKENSTOSE JR · (Male)

NPI # 1760465272
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 11/29/2005
Last updated 02/28/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # D10848
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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