Mark S. Thibault, DDS
General Practice Dentistry · Pinole, CA
Practice location
1330 Tara Hills DrSuite K
Pinole, CA 94564-2531
- Phone
- (510) 724-2074
- Fax
- (510) 724-3430
NPI record
- NPI
- 1750491239
- Entity type
- Individual (Type 1)
- Enumeration date
- August 30, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
36440 | CA |
About Dr. Thibault
Mark S. Thibault, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1330 Tara Hills Dr, Suite K, Pinole, CA 94564-2531. The NPI number 1750491239 was assigned on August 30, 2006 and the record was last updated on July 8, 2007.
Dr. Thibault lists a license in the registry: #36440 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mark S. Thibault, DDS?
The NPI number is 1750491239.
What is the phone number of Dr. Thibault?
The phone number listed for the practice location is (510) 724-2074.
Where is Dr. Thibault located?
1330 Tara Hills Dr, Suite K, Pinole, CA 94564-2531.
What is the taxonomy code for Dr. Thibault?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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