Joshua Solomon DDS Ms Dental Corp

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

48998 Issued in CA

Legal business name

JOSHUA SOLOMON DDS MS DENTAL CORP

Doing business as

Pediatric Dentistry of Tracy

Practice address

2160 W Grant Line Rd Ste 150
Tracy, CA 95377-7332

Phone

(209) 832-7906

Fax

(209) 833-1382

NPI assigned

Aug 24, 2016

Last updated

Nov 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Solomon, DDS, MS

Title

President

Phone

(209) 832-7906

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Dentistry of Tracy Doing business as

Locations

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1376098848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 W GRANT LINE RD STE 150",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777332",
            "telephone_number": "209-832-7906",
            "fax_number": "209-833-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 W GRANT LINE RD STE 150",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777332",
            "telephone_number": "209-832-7906",
            "fax_number": "209-833-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA SOLOMON DDS MS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2018-11-12",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-832-7906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "48998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry of Tracy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Dentistry of Tracy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Wanjiku Margaret Kabiro-Tito, RN

• Pediatric Dentistry in Tracy, CA
• Providers in Tracy, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.