Organization Active NPI

Sossaman Dental Care

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1104008499
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6283 Issued in AZ
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

Updated by the provider on Nov 29, 2007

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.