Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255406682 Individual Practitioner Male Practitioner

Dr. Marc Geronimo , DDS

Dentist - General Practice • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Marc Geronimo, DDS is a registered healthcare professional specializing in Dentist - General Practice in Phoenix, AZ. Practice services are available at 4550 E THOMAS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4550 E Thomas Rd

Phoenix, AZ 850187610

Telephone 6022817072
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.2 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
483 Specialists

Practicing in Phoenix, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D008545

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License CA 54258

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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
John Gritz

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1326232257
Dr. Clifford Randol , DMD

Dentist - General Practice

NPI 1700025673

Doctor of Dental Medicine

Dr. James Lines , DMD

Dentist - General Practice

NPI 1962839092

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address July 21, 2022

Registered at 2524 E PRESCOTT CT, GILBERT, AZ 852982331 (Tel: 6198712763)

📍
Updated Practice Location November 17, 2021

Registered at 4550 E THOMAS RD, PHOENIX, AZ 850187610 (Tel: 6022817072)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4370 PALM AVE STE C, SAN DIEGO, CA 921541760 (Tel: 6194288682)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2078 AVIATA RD # 70, CHULA VISTA, CA 919144474 (Tel: 6195499847)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARC GERONIMO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #54258 in CA)

🟢
Initial NPI Registration & Enumeration November 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255406682
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2006
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

2524 E Prescott Ct

Gilbert, AZ 852982331

Phone: 6198712763

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.