Tath Family Dental, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TATH FAMILY DENTAL, INC

Practice address

220 Towne Centre Dr
Lathrop, CA 95330-9533

Phone

(209) 597-3145

NPI assigned

Dec 10, 2019

Organization subpart

No

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

Authorized official

Name

Pon Tath, DMDNPI 1225260623

Title

President

Phone

(209) 597-3145

Specialties & licenses 1

Addresses

Other names 1

• Mossdale 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.

• Pon T Tath, D.M.D.

  • General Practice Dentistry
  • Boonville, CA
  • NPI 1225260623
  NPD (past) Authorized official

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1891332789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 TOWNE CENTRE DR",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "95330",
            "telephone_number": "209-597-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 TOWNE CENTRE DR",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953309533",
            "telephone_number": "209-597-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATH FAMILY DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "TATH",
        "authorized_official_first_name": "PON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-597-3145",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mossdale Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shari Stamps, CBS, CST, PPD
• Vashon M Strauss
• Amanda L Sunday, PH.D
• Sutter Valley Medical Foundation
• Dapinder Takhar
• Thrivingpath ABA
• Esther Njuhi Thuku
• Myduyen Tran, DDS
• Tranh Tran, PHARMD
• Le Truong

• Dental Clinic/Center in Lathrop, CA
• Providers in Lathrop, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.