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Active NPI 1043304322 Individual Practitioner Male Practitioner

Dr. Thomas Gregory Waddell , DDS

Dentist - General Practice • La Mesa, CA

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Waddell, DDS is a registered healthcare professional specializing in Dentist - General Practice in La Mesa, CA. Practice services are available at 5565 GROSSMONT CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5565 Grossmont Center Dr
Suite 356

La Mesa, CA 919423020

Telephone 6194611900
Fax 6194616581
Associated Practice Facility / Clinic
🏢 William L. Wilson, M.d., Inc. Facility NPI 1568424687

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in La Mesa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
73 Specialists

Practicing in La Mesa, CA (18734 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 23680

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Ben Anella , DDS

Dentist - General Practice

NPI 1144340449

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 10, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2013

Registered at 5565 GROSSMONT CENTER DR, SUITE 356, LA MESA, CA 919423020 (Tel: 6194611900)

📍
Updated Business Mailing Address January 10, 2013

Registered at 5565 GROSSMONT CENTER DR, SUITE 356, LA MESA, CA 919423020 (Tel: 6194611900)

👤
Provider Name / Credentials Updated January 10, 2013

Recorded as THOMAS WADDELL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2013

Dentist (License #23680 in CA)

🟢
Initial NPI Registration & Enumeration October 03, 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: 1043304322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: January 10, 2013
Sole Proprietor: Yes

Mailing Address

5565 Grossmont Center Dr, Suite 356

La Mesa, CA 919423020

Phone: 6194611900

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.