Jeanette Huong Thai, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36015 Issued in CA

Legal business name

JEANETTE HUONG THAI, DDS, INC.

Practice address

24432 Muirlands Blvd Ste 201
Lake Forest, CA 92630-3939

Phone

(949) 837-8482

Fax

(949) 837-9858

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeanette Huong Thai, DDSNPI 1801905708

Title

President

Phone

(949) 837-8482

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jeanette Huong Thai, DDS

  • General Practice Dentistry
  • Lake Forest, CA
  • NPI 1801905708
  NPD Authorized official

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1104010396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24432 MUIRLANDS BLVD STE 201",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303939",
            "telephone_number": "949-837-8482",
            "fax_number": "949-837-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24432 MUIRLANDS BLVD STE 201",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303939",
            "telephone_number": "949-837-8482",
            "fax_number": "949-837-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANETTE HUONG THAI, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "HUONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-837-8482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guadalupe Jara
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• Marie Jauregui
• Nardeep Jawanda, D.C.
• Jcmfb, LLC
• Jeffrey a. Paulsen, Chiropractic Corp.
• Jeffrey Chiung-Neng Huang
• Boye Jeong, ND
• Dain Jeong, ND
• Susan Jimenez Saenz

• General Practice Dentistry in Lake Forest, CA
• Providers in Lake Forest, 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 Feb 11, 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.