Provider Demographics
NPI:1548318959
Name:MOHN, THOMAS V (DMD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:V
Last Name:MOHN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 RITTENHOUSE PL
Mailing Address - Street 2:1ST. FLOOR
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-2227
Mailing Address - Country:US
Mailing Address - Phone:610-642-1010
Mailing Address - Fax:610-642-1010
Practice Address - Street 1:54 RITTENHOUSE PL
Practice Address - Street 2:1ST. FLOOR
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-2227
Practice Address - Country:US
Practice Address - Phone:610-642-1010
Practice Address - Fax:610-642-1010
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0244791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice