Mark a. Gaona, D.D.S., P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

4159 Issued in AZ

Legal business name

MARK A. GAONA, D.D.S., P.C.

Doing business as

Cambridge Dental

Practice address

18555 N 79TH Ave
Suite B-107
Glendale, AZ 85308-8370

Phone

(623) 486-4700

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark A. Gaona, D.D.S.NPI 1881776862

Title

President

Phone

(623) 486-4700

Specialties & licenses 1

Addresses

Other names 1

• Cambridge Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Anthony Gaona, D.D.S.

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1881776862
  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1669535639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18555 N 79TH AVE",
            "address_2": "SUITE B-107",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18555 N 79TH AVE",
            "address_2": "SUITE B-107",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088370",
            "telephone_number": "623-486-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. GAONA, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "GAONA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-486-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "4159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cambridge Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Mae Marin, BSN, RN
• Vanessa Coelho Marinho, D.D.S., M.S.
• Paulette Marino, OCCUPATIONAL THERAPI
• Thomas Carmine Vincent Marino, PA-C
• Mariposa Hospice LLC
• Mark B Hughes DDS PC
• Mark Jensen DDS
• Mark Winograd, M.D., P.C.
• Mark Zachary MD
• Nicole Marks, WHNP-BC

• Dentist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.