MEDICARE: DR. PHILIP GORDON MARAIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	27333	CA

General Provider Information

NPI Number	:	1851715924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP GORDON MARAIS

Provider Business Mailing Address
First Line	:	1955 LAKE AVE
Second Line	:
City	:	ALTADENA
State	:	CA
Zip	:	91001-3037
Country	:	US
Telephone Number	:	626-585-9544
Fax Number	:	626-449-4932

Provider Business Practice Location Address
First Line	:	1955 LAKE AVE
Second Line	:
City	:	ALTADENA
State	:	CA
Zip	:	91001-3037
Country	:	US
Telephone Number	:	626-585-9544
Fax Number	:	626-449-4932

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2014
Last Update Date	:	02/10/2014

Similar Medicare Providers

1992703763 — DR. DAVID STUART CAMPBELL D.D.S.
Practice Location Address:

1955 LAKE AVE
ALTADENA, CA
91001-3037

Practice Phone: 626-585-9544
Practice Fax: 626-449-4932

1194724070 — DR. CAMPBELL DDS, INC.
Practice Location Address:

1955 LAKE AVE
ALTADENA, CA
91001-3037

Practice Phone: 626-585-9544
Practice Fax: 626-449-4932

1902013089 — DR. CAMPBELL'S CENTURY DENTAL OFFICE, DR. CAMPBELL, DDS, INC.
Practice Location Address:

1955 LAKE AVE
ALTADENA, CA
91001-3037

Practice Phone: 626-585-9544
Practice Fax: 626-449-4932

1821258377 — DR. BEVERLY ANN THOMPSON D.C; Q.M.E.
Practice Location Address:

1911 N LAKE AVE
ALTADENA, CA
91001-3037

Practice Phone: 626-797-2323
Practice Fax:

1992031033 — DR. MARILYN JOHNSON D.C.
Practice Location Address:

1911 LAKE AVE
ALTADENA, CA
91001-3037

Practice Phone: 323-828-8111
Practice Fax:

1962955179 — ALVINA CHOI DDS
Practice Location Address:

1955 LAKE AVE
ALTADENA, CA
91001-3037

Practice Phone: 626-795-8628
Practice Fax:

Directions to “ DR. PHILIP GORDON MARAIS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.