THANH T MOLLICA D.D.S., PA-C
NPI 1912988163
Dentist in Canton, OH

Q: What is Thanh Mollica's NPI number?

The NPI number for Thanh Mollica is 1912988163. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Q: What is Thanh Mollica's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thanh Mollica was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 07, 2005PECOS Enrolled

1320 MERCY DR NW, CANTON, OH 44708(330) 489-1000 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2021, Jun 29, 2016 (2 updates tracked since 2016).

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About Thanh T Mollica D.d.s., Pa-c NPPES

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

THANH T MOLLICA D.D.S., PA-C (NPI 1912988163) is an individual dentist in Canton, Ohio, licensed in Ohio (30.024762) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912988163

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameTHANH T MOLLICACredential: D.D.S., PA-C

Location Address1320 MERCY DR NWCanton, OH 44708-2614

Mailing Address1320 Mercy Dr NwCanton, OH 44708-2614 · (330) 489-1000

Phone(330) 489-1000

Sole ProprietorNo

Enumeration DateNovember 7, 2005

Last NPPES UpdateDecember 2, 20212 updates tracked since enumeration

NPPES CertifiedDecember 2, 2021

✔ NPI 1912988163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in OH · 30.024762✔ Licensed in OH · RES3745

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.

Also ListedPhysician AssistantTaxonomy 363A00000X · License 50-002308 (OH)

1320 MERCY DR NW, Canton, OH 44708

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thanh T Mollica D.d.s., Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

AMANDA G GILLIS CRNA

Nurse Anesthetist, Certified Registered