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DR. PATRICE LUZELLE ERMITA MARA DMD
NPI 1932753647
Dentist in Fort Irwin, CA

Active since July 31, 2019
171 INNER LOOP RD, FORT IRWIN, CA 92310(760) 380-6179 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2025, Aug 26, 2020, Jul 31, 2019 (3 updates tracked since 2019).

About Dr. Patrice Luzelle Ermita Mara Dmd NPPES

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

DR. PATRICE LUZELLE ERMITA MARA DMD (NPI 1932753647) is an individual dentist in Fort Irwin, California, licensed in Colorado (DEN.00204040) and active in the NPI registry since July 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1932753647
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. PATRICE LUZELLE ERMITA MARACredential: DMD
Location Address171 INNER LOOP RDFort Irwin, CA 92310
Mailing Address171 Inner Loop RdFort Irwin, CA 92310 · (760) 380-6179
Phone(760) 380-6179
Sole ProprietorNo
Enumeration DateJuly 31, 2019
Last NPPES UpdateAugust 14, 20253 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1932753647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CO · DEN.00204040
Definition
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.
171 INNER LOOP RD, Fort Irwin, CA 92310
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Secondary Practice Locations 2

Location 1618th Dental CO, Carius Dental Clinic BLDG P3020 ATTN: Credentials OfficAPO, AP 96271-5245 · Phone (315) 757-9186
Location 21631 Wetzel Ave Bldg 815Fort Carson, CO 80913-4095 · Phone (719) 526-5537

Other Providers at the Same Location NPPES 3

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

MELISSA JANE MADDOX RDH
Dental Hygienist
171 INNER LOOP RD
FORT IRWIN, CA 92310
San Bernardino County (999) 999-9999
DR. YONG SOO KIM DDS
Dentist (General Practice)
171 INNER LOOP RD
FORT IRWIN, CA 92310
San Bernardino County (760) 380-3166
DR. SERGIO HERNANDEZ DDS
Dentist
171 INNER LOOP RD
FORT IRWIN, CA 92310
San Bernardino County (760) 380-3173

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 Patrice Mara's NPI number?

The NPI number for Patrice Mara is 1932753647. It was assigned to this individual provider in the NPPES registry on July 31, 2019.

Where is Patrice Mara located?

Patrice Mara practices at 171 Inner Loop Rd, Fort Irwin, CA 92310. The listed phone number is (760) 380-6179.

What is Patrice Mara's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Patrice Mara was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.