Andrew DO Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45851 Issued in CA

Legal business name

ANDREW DO DENTISTRY

Practice address

625 E Valley Blvd Ste K
San Gabriel, CA 91776-3591

Phone

(626) 573-3261

Fax

(626) 573-3210

NPI assigned

Apr 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrew Thuc DO, DDSNPI 1326144718

Title

Owner

Phone

(626) 573-3261

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Thuc DO, D.D.S.

  • General Practice Dentistry
  • San Gabriel, CA
  • NPI 1326144718
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053531277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E VALLEY BLVD STE K",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763591",
            "telephone_number": "626-573-3261",
            "fax_number": "626-573-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E VALLEY BLVD STE K",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763591",
            "telephone_number": "626-573-3261",
            "fax_number": "626-573-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW DO DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "THUC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-573-3261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.