Active NPI
Sossaman Dental Care
- General Practice Dentistry
- Mesa, AZ
National Provider Identifier
1104008499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D6283
- Legal business name
- SOSSAMAN DENTAL CARE
- Practice address
- 1925 S Sossaman Rd
#212
Mesa, AZ 85209-4275 - Phone
- (480) 203-2531
- NPI assigned
- Nov 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Morrie Orville Talbot, DDS
- Title
- President
- Phone
- (480) 203-2531
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D6283 | AZ | Primary |
Addresses
Primary practice location
1925 S Sossaman Rd
#212
Mesa, AZ 85209-4275
Mailing address
1925 S Sossaman Rd Ste 212
Mesa, AZ 85209-4145
Phone (480) 203-2531
Other names 1
- SOSSAMAN DENTAL CARE
National Provider Directory
National Provider DirectoryLocations
1925 S Sossaman Rd
Ste 212
Mesa, AZ 85209
Phone (480) 203-2531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196294400000",
"number": "1104008499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 S SOSSAMAN RD STE 212",
"city": "MESA",
"state": "AZ",
"postal_code": "852094145",
"telephone_number": "480-203-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 S SOSSAMAN RD",
"address_2": "#212",
"city": "MESA",
"state": "AZ",
"postal_code": "852094275",
"telephone_number": "480-203-2531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOSSAMAN DENTAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-29",
"last_updated": "2007-11-29",
"status": "A",
"authorized_official_last_name": "TALBOT",
"authorized_official_first_name": "MORRIE",
"authorized_official_middle_name": "ORVILLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-203-2531",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D6283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SOSSAMAN DENTAL CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.