Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Charles Jefferson Thom Jr., DDS

Individual provider Dentist · NPI 1588653414

Dr. Charles Jefferson Thom Jr., DDS is a Dentist in Mission Viejo, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

22922 Los Alisos Blvd Ste J
Mission Viejo, CA 92691-2856
Phone: (949) 855-0176
Fax: (949) 837-0171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 30495 (CA)

Record details

NPI number1588653414
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 13, 2005
Last updated in NPPESJuly 13, 2026

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