Active NPI
THG Dental, PLLC
- General Practice Dentistry
- Marana, AZ
National Provider Identifier
1669636189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6566
- Legal business name
- THG DENTAL, PLLC
- Practice address
- 12090 N. Thornydale, Ste 106
Marana, AZ 85658-4779 - Phone
- (520) 616-4610
- Fax
- (520) 616-4609
- NPI assigned
- Jul 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Trym H Gibbons, DDS
- Title
- Owner
- Phone
- (520) 616-4610
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6566 | AZ | Primary |
Addresses
Primary practice location
12090 N. Thornydale, Ste 106
Marana, AZ 85658-4779
Mailing address
12090 N. Thornydale, Ste 106
Marana, AZ 85658-4779
Phone (520) 616-4610
Other names 1
- Tangerine Dental Care
National Provider Directory
National Provider DirectoryLocations
12090 N Thornydale Rd
Ste 106
Marana, AZ 85658
Phone (520) 616-4610
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Marana, AZ
- NPI 1730798331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484092800000",
"number": "1669636189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12090 N. THORNYDALE, STE 106",
"city": "MARANA",
"state": "AZ",
"postal_code": "856584779",
"telephone_number": "520-616-4610",
"fax_number": "520-616-4609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12090 N. THORNYDALE, STE 106",
"city": "MARANA",
"state": "AZ",
"postal_code": "856584779",
"telephone_number": "520-616-4610",
"fax_number": "520-616-4609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THG DENTAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-14",
"last_updated": "2017-01-11",
"status": "A",
"authorized_official_last_name": "GIBBONS",
"authorized_official_first_name": "TRYM",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-616-4610",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "6566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tangerine Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marana, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.