THOMAS MAZURANIC DDS (NPI# 1326537630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326537630 |
Entity Type | Organization |
Organization Name | THOMAS MAZURANIC DDS |
Other Organization Name | WARRENTON FAMILY DENTAL CARE |
Practice Address |
122 E Main St Warrenton MO 63383-2004 |
Mailing Address |
17 E Glenwood Ln Kirkwood MO 63122-5118 |
Practice Telephone | 6364564746 |
Mailing Telephone | 3146091660 |
Enumeration Date | 2018-05-02 |
Last Update Date | 2018-05-02 |
Authorized Official Name | DR. THOMAS JOSEPH MAZURANIC (OWNER/DENTIST) |
Authorized Official Telephone | 3146091660 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
2013016370 | MO | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | INDIVIDUAL NPI | 1801236708 | 01 |
Other Name | Type Code |
---|---|
Warrenton Family Dental Care | Doing Business As Name - Organization |
Street Address |
122 E MAIN ST |
City | WARRENTON |
State | MO |
Zip Code | 63383-2004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215544861 | Amanda Rae Miller | Pharmacist | 701 North Highway 47, Warrenton, MO 63383 | 2020-09-28 |
1255837647 | Amanda Jean Hite | Physical Therapy Assistant | 1 Town and Country Marketplace, Warrenton, MO 63383 | 2018-04-04 |
1295260818 | Legacy Drugstore 2, LLC | Pharmacy | 609 State Highway 47, Suite B, Warrenton, MO 63383 | 2017-04-21 |
1295281517 | Harbor Place Estates, LLC | Assisted Living Facility | 1054 S State Highway 47, Warrenton, MO 63383 | 2016-08-28 |
1811350630 | Megan Moore | Physical Therapist | 772 N. Hwy 47, Suite A, Warrenton, MO 63383 | 2016-03-30 |
1598125353 | Lauren Schumacher | Physical Therapist | 722 N. Highway 47, Suite A, Warrenton, MO 63383 | 2016-03-07 |
1427374230 | Our Urgent Care, LLC | Clinic/Center | 1343 North East Service Rd, Warrenton, MO 63383 | 2010-04-19 |
1235397183 | Paul J Dooley Dds PC | Dentist | 708 Steinhagen, Warrenton, MO 63383 | 2008-05-28 |
1699975995 | Joshua Douglas Sharp | Chiropractor | 704 North State Hwy 47, Warrenton, MO 63383 | 2007-07-24 |
1083827075 | Thomas William Cox | Physical Therapy Assistant | 65 State Hwy. Aa, Warrenton, MO 63383 | 2007-05-07 |
Find all providers in zip 63383 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043645989 | Warrenton Dental Center Pllc | Clinic/Center | 410 Rosedale Ct, Suite 170, Warrenton, VA 20186-4329 | 2013-09-11 |
1427570829 | Gentle Dental Care of Warrenton | Clinic/Center | 6402 Lee Hwy, Warrenton, VA 20187-7902 | 2017-07-07 |
1124481205 | Warrenton Oral and Facial Surgery | Clinic/Center | 225 Oak Springs Dr, Suite 102, Warrenton, VA 20186-2187 | 2016-04-05 |
1154733178 | Kidz Corner Dental Pllc | Clinic/Center | 410 Rosedale Ct, Suite 170, Warrenton, VA 20186-4329 | 2014-05-26 |
1265615769 | Drs. Griffin & Errera Orthodontics, PC | Clinic/Center | 179 Broadview Ave, Warrenton, VA 20186-2401 | 2007-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306444740 | Ressel Family Dentistry LLC | Clinic/Center | 1 E Broadway Ste A, Columbia, MO 65203-4205 | 2020-10-16 |
1467059980 | Valudental Independence LLC | Clinic/Center | 600 E Us Highway 24, Independence, MO 64050-2910 | 2020-10-07 |
1144835828 | Rem Dds, LLC | Clinic/Center | 10000 Watson Rd Ste 2mm, Saint Louis, MO 63126-1848 | 2020-09-10 |
1043824832 | Pleasant Dental Care Kc | Clinic/Center | 912 E 63rd St Ste 100, Kansas City, MO 64110-3439 | 2020-08-31 |
1164033122 | Dental Depot of Blue Springs Pllc | Clinic/Center | 1500 S 7 Hwy, Blue Springs, MO 64014-3943 | 2020-08-13 |
1184235517 | Twin Creeks Family Dentistry LLC | Clinic/Center | 10560 N Ambassador Dr Ste 200, Kansas City, MO 64153-1591 | 2020-08-10 |
1003434234 | Jason L Allen Dmd LLC | Clinic/Center | 5147 Daggett Ave, Saint Louis, MO 63110-3009 | 2020-07-14 |
1538622071 | Smile Safari of Missouri | Clinic/Center | 10016 E 63rd St, Raytown, MO 64133-5102 | 2019-04-11 |
1275094864 | Itooth Family Dentistry, LLC | Clinic/Center | 3211 E Battlefield St Ste 100, Springfield, MO 65804-4071 | 2019-03-27 |
1033677901 | C. Hastings, Dds, LLC | Clinic/Center | 1709 Heritage Hills Dr, Washington, MO 63090-4621 | 2019-03-08 |
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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.