OrganizationActive
Marysol B. Realon DDS a Prof. Dental Corp
NPI 1508023235 · Dentist · Lathrop, CA
Marysol B. Realon DDS a Prof. Dental Corp is a Dentist organization in Lathrop, CA (NPI 1508023235).
Provider details
- NPI number
- 1508023235
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Marysol Realon, Dentist(209) 629-8573
- License
- 53855 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
259 E. Louise Ave
Lathrop, CA 95330
Phone: (209) 629-8573
Fax: (209) 629-8574
Street-level locationGet directions
Mailing address
259 E. Louise Ave
Lathrop, CA 95330
Registry dates
- Enumerated
- 2008-05-20
- Last updated
- 2015-05-26
Frequently asked questions
- What is Marysol B. Realon DDS a Prof. Dental Corp's NPI number?
- Marysol B. Realon DDS a Prof. Dental Corp's National Provider Identifier (NPI) is 1508023235, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marysol B. Realon DDS a Prof. Dental Corp?
- Marysol B. Realon DDS a Prof. Dental Corp is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Marysol B. Realon DDS a Prof. Dental Corp located?
- Marysol B. Realon DDS a Prof. Dental Corp's practice location on file with NPPES is 259 E. Louise Ave, Lathrop, CA 95330.
- What is Marysol B. Realon DDS a Prof. Dental Corp's phone number?
- The practice phone number listed in the NPPES registry for Marysol B. Realon DDS a Prof. Dental Corp is (209) 629-8573.
- Who is the authorized official for Marysol B. Realon DDS a Prof. Dental Corp?
- The authorized official listed on Marysol B. Realon DDS a Prof. Dental Corp's NPPES record is Marysol Realon, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marysol B. Realon DDS a Prof. Dental Corp's NPI active?
- Yes — Marysol B. Realon DDS a Prof. Dental Corp's NPI (1508023235) is active in the NPPES registry as of the last update on 2015-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.