Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin Mamoottil Thomas

Individual provider Dentist · NPI 1497462147

Kevin Mamoottil Thomas is a Dentist in Phoenix, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona and New York.

Licensed in
AZ, NY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

10 W Adams St
Phoenix, AZ 85003-2025
Phone: (602) 207-8528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 760 Broadway, Brooklyn, NY 11206-5317 — (718) 963-8000

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D012634 (AZ)
Dentist Taxonomy 122300000X · Licence 063927 (NY)

Record details

NPI number1497462147
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 2, 2022
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026
Mailing address1727 E Pecos Rd Apt 4079, Gilbert, AZ 85295-1879

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