Provider Demographics
NPI:1568533305
Name:THOMAS R SEGURA JR DDS APC
Entity Type:Organization
Organization Name:THOMAS R SEGURA JR DDS APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:RAPPLEYE
Authorized Official - Last Name:SEGURA
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-305-5175
Mailing Address - Street 1:170 EAST FOOTHILL BLVD
Mailing Address - Street 2:SUITE # A THOMAS R SEGURA JR DDS APC
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-7427
Mailing Address - Country:US
Mailing Address - Phone:626-305-5175
Mailing Address - Fax:626-303-8543
Practice Address - Street 1:170 EAST FOOTHILL BLVD
Practice Address - Street 2:SUITE # A THOMAS R SEGURA JR DDS APC
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-7427
Practice Address - Country:US
Practice Address - Phone:626-305-5175
Practice Address - Fax:626-303-8543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty