Individual provider · Type 1 NPI

Kevin Mamoottil Thomas

Dentist · Phoenix, AZ

NPI number 1497462147 Active

Practice location

10 W Adams St
Phoenix, AZ 85003-2025

Mailing address

1727 E Pecos Rd Apt 4079
Gilbert, AZ 85295-1879

Other practice locations

  • 760 Broadway, Brooklyn, NY 11206-5317 · (718) 963-8000

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD012634 (AZ)
Dentist 122300000X063927 (NY)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1497462147

Kevin Mamoottil Thomas's National Provider Identifier is 1497462147, issued on Nov 2, 2022. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 10, 2026.