Tully and Mokbil Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TULLY AND MOKBIL DENTAL CORPORATION

Practice address

2228 Fair Oaks Blvd
Sacramento, CA 95825-5502

Phone

(916) 432-2842

Fax

(916) 458-4804

NPI assigned

Aug 5, 2021

Organization subpart

No

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

Authorized official

Name

Nathan Tully, DMD

Title

Owner

Phone

(916) 432-2842

Specialties & licenses 1

Addresses

Other names 1

• Dentists of Campus Commons 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.

• Jalmeen Jhaj, DMD

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1033001896
  NPD

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1851065627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 FAIR OAKS BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255502",
            "telephone_number": "916-432-2842",
            "fax_number": "916-458-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULLY AND MOKBIL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "TULLY",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-432-2842",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of Campus Commons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Korrie Christine Alexandra Tugal, RDN
• Danguole Tuimavave
• Letila Tuiqilai
• Maria Tuite
• Beverly Ann Tukes
• Kirsten Tully, PTA
• Laura Magdalen Tully, PHD
• Lamrot Mulugeta Tulu, MS
• Neha S Tumber
• Sundeep Tumber, D.O.

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.