Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas M. Pedavoli DDS Inc

Organization Dentist · NPI 1215477088

Thomas M. Pedavoli DDS Inc is a Dentist in Plymouth, Indiana. Licensed in Indiana. Registered with an NPI since 2017.

Licensed in
IN
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

850 Columbus Dr
Plymouth, IN 46563-1877
Phone: (574) 936-2527
Fax: (574) 936-5363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12008862A (IN)

Record details

NPI number1215477088
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Pedavoli — Owner/Dentist · (574) 936-2527
NPI enumeratedFebruary 27, 2017
Last updated in NPPESFebruary 27, 2017
Mailing addressPo Box 1049, Plymouth, IN 46563-5049

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