Provider Demographics
NPI:1235560327
Name:MICHAEL THAI, DDS, APC
Entity Type:Organization
Organization Name:MICHAEL THAI, DDS, APC
Other - Org Name:ARCADIA DENTALDONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DON
Authorized Official - Last Name:THAI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-445-3550
Mailing Address - Street 1:301 W HUNTINGTON DR STE 517
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-1511
Mailing Address - Country:US
Mailing Address - Phone:626-445-3550
Mailing Address - Fax:626-445-0214
Practice Address - Street 1:301 W HUNTINGTON DR STE 517
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-1511
Practice Address - Country:US
Practice Address - Phone:626-445-3550
Practice Address - Fax:626-445-0214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-27
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA500011223G0001X
CA511531223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty