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

Marc Geronimo, DDS

Individual provider Dentist · NPI 1255406682

Marc Geronimo, DDS is a Dentist in Phoenix, Arizona. Licensed in Arizona and California. Registered with an NPI since 2006.

Licensed in
AZ, CA
In the registry since
2006
Specialties on file
2
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

4550 E Thomas Rd
Phoenix, AZ 85018-7610
Phone: (602) 281-7072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D008545 (AZ)
Dentist Taxonomy 122300000X · Licence 54258 (CA)

Record details

NPI number1255406682
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 21, 2006
Last updated in NPPESJuly 21, 2022
Certification dateJuly 19, 2022
Mailing address2524 E Prescott Ct, Gilbert, AZ 85298-2331

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