MAMORU TANAKA


Address: 6541 Shady Brook Ln Apt 2210, Dallas, TX 75206-9123
Phone: 6174599491

MAMORU TANAKA (NPI# 1265717391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265717391
Entity Type Individual
Full Name MAMORU TANAKA
Credential D.D.S, FACP
Practice Address 6541 Shady Brook Ln Apt 2210
Dallas
TX 75206-9123
Practice Telephone 6174599491
Mailing Telephone 6174599491
Enumeration Date 2011-10-20
Last Update Date 2016-04-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
31503 TX Dental Providers

Office Location

Street Address 6541 SHADY BROOK LN APT 2210
City DALLAS
State TX
Zip Code 75206-9123

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Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629627716 Mohammad Mehdi Imani Emadi Dentist 11970 N Central Expy # 430, Dallas, TX 75243 2019-09-10
1033683701 Marta Revilla-leon Dentist 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 2019-01-16
1841795598 Andreina Cordido Enriquez Dentist 3302 Gaston Ave Rm 169, Dallas, TX 75246-2013 2018-03-26
1972021145 Catherine G Cagino Dentist 5018 Les Chateaux Dr, Dallas, TX 75235-8731 2017-09-07
1104371038 Brian Christopher Aguirre Dentist 5013 Vickery Blvd, Dallas, TX 75206-6222 2016-08-21
1659796696 Kathia Steel Dds Ms PC Dentist 8117 Preston Rd Ste 170, Dallas, TX 75225-6320 2014-02-27
1356576599 Elite Dental Associates - Dallas, P.C. Dentist 2410 Mckinney Ave, Dallas, TX 75201-1937 2009-05-18
1447497102 Michelle Newby Dentist 11661 Preston Rd Ste 104, Dallas, TX 75230-6196 2009-01-15
1083870281 Dimitrios Elias Kontogiorgos Dentist 8650 Southwestern Blvd, Apt#3407, Dallas, TX 75206-2611 2008-08-06
1629290267 David D Mcfadden Dentist 5120 W Lovers Ln, Dallas, TX 75209-3332 2007-05-03
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Competitor

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City DALLAS
Zip Code 75206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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