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THOMAS M. PEDAVOLI DDS INC.
NPI 1215477088
Dentist in Plymouth, IN

Active since February 27, 2017
850 COLUMBUS DR, PLYMOUTH, IN 46563(574) 936-2527(574) 936-5363 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Thomas M. Pedavoli Dds Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS M. PEDAVOLI DDS INC. (NPI 1215477088) is a healthcare organization registered as a dentist in Plymouth, Indiana and active in the NPI registry since February 2017. The organization lists Thomas Michael Pedavoli, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1215477088
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameTHOMAS M. PEDAVOLI DDS INC.
Location Address850 COLUMBUS DRPlymouth, IN 46563-1877
Mailing AddressPo Box 1049Plymouth, IN 46563-5049 · (574) 936-2527 · Fax (574) 936-5363
Phone(574) 936-2527
Fax(574) 936-5363
Organization SubpartNo
Authorized OfficialThomas Michael PedavoliOwner/dentist · (574) 936-2527
Enumeration DateFebruary 27, 2017
✔ NPI 1215477088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12008862A
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
850 COLUMBUS DR, Plymouth, IN 46563
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Other Identifiers 1

MedicaidLPI 100323350 BIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW STEVEN CARMIEN D.D.S.
Dentist (General Practice)
850 COLUMBUS DR
PLYMOUTH, IN 46563
Marshall County (574) 936-2527
CARMIEN & PEDAVOLI FAMILY DENTISTRY, LLC
Dentist (General Practice)
850 COLUMBUS DR
PLYMOUTH, IN 46563
Marshall County (574) 963-2527

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas M. Pedavoli Dds Inc.'s NPI number?

The NPI number for Thomas M. Pedavoli Dds Inc. is 1215477088. It was assigned to this organization in the NPPES registry on February 27, 2017.

Where is Thomas M. Pedavoli Dds Inc. located?

Thomas M. Pedavoli Dds Inc. is located at 850 Columbus Dr, Plymouth, IN 46563. The listed phone number is (574) 936-2527.

What is Thomas M. Pedavoli Dds Inc.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Thomas M. Pedavoli Dds Inc. was last updated on February 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.