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Thavisab Hatlavongsa, D.D.S.
NPI 1265655229 · General Practice Dentistry · Sun City, CA
Thavisab Hatlavongsa, D.D.S. is a General Practice Dentistry provider in Sun City, CA (NPI 1265655229).
Provider details
- NPI number
- 1265655229
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 49898 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
29798 Haun Rd Ste 306
Sun City, CA 92586-6542
Phone: (951) 672-0717
Fax: (951) 848-0883
Street-level locationGet directions
Mailing address
29798 Haun Rd Ste 306
Sun City, CA 92586-6542
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2007-07-08
Frequently asked questions
- What is Thavisab Hatlavongsa's NPI number?
- Thavisab Hatlavongsa's National Provider Identifier (NPI) is 1265655229, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thavisab Hatlavongsa's specialty?
- Thavisab Hatlavongsa is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Thavisab Hatlavongsa located?
- Thavisab Hatlavongsa's practice location on file with NPPES is 29798 Haun Rd Ste 306, Sun City, CA 92586-6542.
- What is Thavisab Hatlavongsa's phone number?
- The practice phone number listed in the NPPES registry for Thavisab Hatlavongsa is (951) 672-0717.
- Is Thavisab Hatlavongsa's NPI active?
- Yes — Thavisab Hatlavongsa's NPI (1265655229) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.