Mark S Thibault in Pinole - General Practice

Mark S Thibault - NPI 1750491239

Mark S Thibault is a General Practice in Pinole, California. Mark S Thibault practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark S Thibault is 1750491239. The last update date is 2007-07-08.

Mark S Thibault's current location address is 1330 Tara Hills Dr, Pinole, California. You can contact this provider via phone number 5107242074 and fax number 5107243430. The mailing address for Mark S Thibault is 1330 Tara Hills Dr, Pinole, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark S Thibault
Address 1330 Tara Hills Dr, Pinole, California
Phone Number 5107242074
Fax Number 5107243430
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1750491239
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1330 Tara Hills Dr
City Pinole
State California (CA)
Post Code 945642531
Phone Number 5107242074
Fax Number 5107243430

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 36440
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.

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FAQs about Mark S Thibault

What is the unique 10-digit identification code assigned to Mark S Thibault by the Centers for Medicare & Medicaid Services?

The Mark S Thibault has been issued the NPI (National Provider Identifier) 1750491239, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Mark S Thibault's facilities are situated?

The facilities of Mark S Thibault are physically located at the following address: 1330 Tara Hills Dr, Pinole, CA, 945642531.

What is the Mark S Thibault's area of specialization and corresponding taxonomy classification?

The Mark S Thibault's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

When did the Mark S Thibault receive its 1750491239?

The Mark S Thibault was issued its 1750491239 on 2006-08-30, which is the date when the organization was assigned this unique identifier.

When was the information regarding Mark S Thibault, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mark S Thibault, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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