Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK S THIBAULT, DDS
Active Sole ProprietorDR. MARK S THIBAULT, DDS is a General Dentistry healthcare provider located in PINOLE, California. NPI 1750491239 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · PINOLE, CA
Registration Details
- NPI Number
- 1750491239
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.810487149848 yrs)
- Last Updated
- Jul 8, 2007
- License
-
36440 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1330 TARA HILLS DRSUITE KPINOLE, CA, 945642531Browse CA providers · Browse ZIP 94564
- Phone
- 5107242074
- Fax
- 5107243430
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in PINOLE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. LESLIE C. CHOW | D.M.D. | 1124021118 |
| DR. MICHAEL SCOTT STOKES | DDS | 1578569943 |
| DAVID TALBOTT WARREN | DAVID WARREN | 1598789349 |
| DR. GORDON BATES SWANSTROM | D.D.S. | 1194736801 |
| DR. BENJAMIN ABILLAR ROSALES II | D.D.S. | 1811075575 |
| RESHMA R JAWALE | DDS | 1538233556 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.