Healthcare Provider Details

I. General information

NPI: 1225247919
Provider Name (Legal Business Name): THOMAS E. LEQUIA DDS & ROBERT L. HILL, D.D.S.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 08/12/2025
Certification Date: 07/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 PARK AVENUE SUITE B
MERCED CA
95348-3375
US

IV. Provider business mailing address

2800 PARK AVENUE SUITE B
MERCED CA
95348-3375
US

V. Phone/Fax

Practice location:
  • Phone: 209-384-1202
  • Fax: 209-384-1250
Mailing address:
  • Phone: 209-384-1202
  • Fax: 209-384-1250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS E. LEQUIA
Title or Position: OWNER
Credential: DDS
Phone: 209-384-1202