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MARC GERONIMO DDS
NPI 1255406682
Dentist - General Practice in Phoenix, AZ

Active since November 21, 2006
4550 E THOMAS RD, PHOENIX, AZ 85018(602) 281-7072 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Nov 17, 2021 (2 updates tracked since 2021).

About Marc Geronimo Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARC GERONIMO DDS (NPI 1255406682) is an individual general practice provider in Phoenix, Arizona, licensed in Arizona (D008545) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1255406682
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMARC GERONIMOCredential: DDS
Location Address4550 E THOMAS RDPhoenix, AZ 85018-7610
Mailing Address2524 E Prescott CtGilbert, AZ 85298-2331 · (619) 871-2763
Phone(602) 281-7072
Sole ProprietorNo
Enumeration DateNovember 21, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
✔ NPI 1255406682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · D008545
Definition
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.
Also ListedDentistTaxonomy 122300000X · License 54258 (CA)
4550 E THOMAS RD, Phoenix, AZ 85018
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WESTERN DENTAL SERVICES, INC.
Dentist (General Practice)
4550 E THOMAS RD
PHOENIX, AZ 85018
Maricopa County (602) 522-2200
WESTERN DENTAL OF ARIZONA, INC.
Dentist (General Practice)
4550 E THOMAS RD
PHOENIX, AZ 85018
Maricopa County (602) 808-8855
DR. CLIFFORD RICHARD RANDOL D.M.D
Dentist (General Practice)
4550 E THOMAS RD
PHOENIX, AZ 85018
Maricopa County (541) 868-5887
DR. JAMES WYATT LINES D.M.D.
Dentist (General Practice)
4550 E THOMAS RD
PHOENIX, AZ 85018
Maricopa County (602) 551-8239

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marc Geronimo's NPI number?

The NPI number for Marc Geronimo is 1255406682. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Marc Geronimo located?

Marc Geronimo practices at 4550 E Thomas Rd, Phoenix, AZ 85018. The listed phone number is (602) 281-7072.

What is Marc Geronimo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Marc Geronimo accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 13 other insurers list Marc Geronimo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marc Geronimo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.