Healthcare Provider Details

I. General information

NPI: 1770151250
Provider Name (Legal Business Name): KAVIN THIPTHAMAI DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2021
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7721 PAINTER AVE
WHITTIER CA
90602-2411
US

IV. Provider business mailing address

7721 PAINTER AVE
WHITTIER CA
90602-2411
US

V. Phone/Fax

Practice location:
  • Phone: 562-632-1223
  • Fax:
Mailing address:
  • Phone: 562-632-1223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number112744
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: