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MAMORU TANAKA D.D.S, FACP
NPI 1265717391
Dentist - Prosthodontics in San Diego, CA

Active since October 20, 2011
8008 FROST ST # 800, SAN DIEGO, CA 92123(617) 459-9491 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mamoru Tanaka D.d.s, Facp NPPES

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

MAMORU TANAKA D.D.S, FACP (NPI 1265717391) is an individual prosthodontics provider in San Diego, California, licensed in California (101517) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1265717391
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameMAMORU TANAKACredential: D.D.S, FACP
Location Address8008 FROST ST # 800San Diego, CA 92123-4205
Mailing Address8008 Frost St # 800San Diego, CA 92123-4205 · (617) 459-9491
Phone(617) 459-9491
Sole ProprietorYes
Enumeration DateOctober 20, 2011
Last NPPES UpdateNovember 22, 2022
NPPES CertifiedNovember 22, 2022
✔ NPI 1265717391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Licenses✔ Licensed in CA · 101517✔ Licensed in TX · 31503
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
8008 FROST ST # 800, San Diego, CA 92123
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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 Mamoru Tanaka's NPI number?

The NPI number for Mamoru Tanaka is 1265717391. It was assigned to this individual provider in the NPPES registry on October 20, 2011.

Where is Mamoru Tanaka located?

Mamoru Tanaka practices at 8008 Frost St # 800, San Diego, CA 92123. The listed phone number is (617) 459-9491.

What is Mamoru Tanaka's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Mamoru Tanaka was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.