Thomas William Maddocks in Laguna Beach - General Practice

Thomas William Maddocks - NPI 1801007539

Thomas William Maddocks is a General Practice in Laguna Beach, California. Thomas William Maddocks practices all healthcare services and medical treatments related to General Practice. The NPI Number for Thomas William Maddocks is 1801007539. The last update date is 2007-07-08.

Thomas William Maddocks's current location address is 77 S La Senda Dr, Laguna Beach, California. You can contact this provider via phone number 9494991752 and fax number 9494991202. The mailing address for Thomas William Maddocks is 77 S La Senda Dr, Laguna Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas William Maddocks
Address 77 S La Senda Dr, Laguna Beach, California
Phone Number 9494991752
Fax Number 9494991202
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1801007539
Provider Enumeration Date 2007-05-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 77 S La Senda Dr
City Laguna Beach
State California (CA)
Post Code 926516730
Phone Number 9494991752
Fax Number 9494991202

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 32352
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
B32352-01 CA DENTI-CAL

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FAQs about Thomas William Maddocks

What is the unique identification code assigned to Thomas William Maddocks by the Centers for Medicare & Medicaid Services?

The Thomas William Maddocks has been issued the NPI (National Provider Identifier) 1801007539. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Thomas William Maddocks?

The Thomas William Maddocks is physically situated at 77 S La Senda Dr, in the city of Laguna Beach, state of CA, with the postal code 926516730.

What is the Thomas William Maddocks's specialty and taxonomy code?

The Thomas William Maddocks's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1801007539 to Thomas William Maddocks?

The Centers for Medicare & Medicaid Services originally issued the 1801007539 to Thomas William Maddocks on 2007-05-24.

As of what date were the details related to Thomas William Maddocks most recently updated or revised?

The information pertaining to Thomas William Maddocks, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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