Thomas DMD & Cumberbatch DDS, P.a. Dba Baytown Gentle Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18921 Issued in TX

Legal business name

THOMAS DMD & CUMBERBATCH DDS, P.A. DBA BAYTOWN GENTLE DENTAL CENTER

Practice address

3700 Emmet Hutto Blvd
Baytown, TX 77521-1764

Phone

(281) 837-9122

Fax

(281) 837-6009

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Tracie Credeur

Title

Account Manager

Phone

(281) 837-9122

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669563243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 EMMET HUTTO BLVD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775211764",
            "telephone_number": "281-837-9122",
            "fax_number": "281-837-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 EMMET HUTTO BLVD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775211764",
            "telephone_number": "281-837-9122",
            "fax_number": "281-837-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS DMD & CUMBERBATCH DDS, P.A. DBA BAYTOWN GENTLE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CREDEUR",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "281-837-9122"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Baytown, TX
• Providers in Baytown, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.