Dr. Thomas J Zumo, D.D.S.
Dentist, General Practice in Cheyenne, WY. Individual provider (NPI-1).
NPI number1790767648
StatusActive
Last updated in NPPESDec 18, 2019
Details
- NPI
- 1790767648
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas J Zumo
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 16, 2005
- Certification date
- Dec 18, 2019
- Last updated
- Dec 18, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 889 | WY | Yes |
Practice location
3315 Warren AveCheyenne, WY 82001-1475
Phone 307-638-0957
Mailing address
3315 Warren AveCheyenne, WY 82001-1475
Phone 307-638-0957
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