Dr Mary Thomas, a Professional Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

44269 Issued in CA

Legal business name

DR MARY THOMAS, A PROFESSIONAL DENTAL CORPORATION

Practice address

8770 Cuyamaca St
Suite 2
Santee, CA 92071-4373

Phone

(619) 258-1171

Fax

(619) 258-3553

NPI assigned

Mar 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mary Thomas, DDS

Title

Ceo/Dentist

Phone

(619) 258-1171

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1206748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206748800000",
    "number": "1114199288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8770 CUYAMACA ST",
            "address_2": "SUITE 2",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714373",
            "telephone_number": "619-258-1171",
            "fax_number": "619-258-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8770 CUYAMACA ST",
            "address_2": "SUITE 2",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714373",
            "telephone_number": "619-258-1171",
            "fax_number": "619-258-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARY THOMAS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-29",
        "last_updated": "2008-03-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO/DENTIST",
        "authorized_official_telephone_number": "619-258-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Santee, CA
• Providers in Santee, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2008; 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.