Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497462147 Individual Practitioner Male Practitioner

Kevin Mamoottil Thomas

Dentist • Phoenix, AZ

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kevin Thomas is a registered healthcare professional specializing in Dentist in Phoenix, AZ. Official NPI practice address is registered at 10 W ADAMS ST.

Practice Location & Contact Primary Location

Practice Address

10 W Adams St

Phoenix, AZ 850032025

Telephone 6022078528
Associated Practice Facility / Clinic
🏢 The Smyl Co Facility NPI 1659829299

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
412 Specialists

Practicing in Phoenix, AZ (1999 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: 2026-03-10
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AZ D012634

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License NY 063927

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.

Secondary Practice Locations

760 Broadway

Brooklyn, NY 112065317

Phone: 7189638000

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1669304689

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 10, 2026

Registered at 10 W ADAMS ST, PHOENIX, AZ 850032025 (Tel: 6022078528)

📍
Updated Business Mailing Address March 10, 2026

Registered at 1727 E PECOS RD APT 4079, GILBERT, AZ 852951879

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2026

Dentist (License #D012634 in AZ)

NPI Profile Active November 02, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2022

Registered at 760 BROADWAY, BROOKLYN, NY 112065317 (Tel: 7189638000)

📍
Updated Business Mailing Address November 02, 2022

Registered at 1400 RUSSELL BLVD APT 426, SAINT LOUIS, MO 631044417

👤
Provider Name / Credentials Updated November 02, 2022

Recorded as KEVIN THOMAS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration November 02, 2022

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: 1497462147
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2022
Last Update: March 10, 2026
Sole Proprietor: Yes

Mailing Address

1727 E Pecos Rd Apt 4079

Gilbert, AZ 852951879

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.