Jeffrey Tylon Mintz in Supply - General Practice
Jeffrey Tylon Mintz - NPI 1700814563
Jeffrey Tylon Mintz is a General Practice in Supply, North Carolina. Jeffrey Tylon Mintz practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffrey Tylon Mintz is 1700814563. The last update date is 2007-07-08.
Jeffrey Tylon Mintz's current location address is Po Box 329, Supply, North Carolina. You can contact this provider via phone number 9107547850 and fax number 9107556334. The mailing address for Jeffrey Tylon Mintz is Po Box 329, Supply, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Tylon Mintz |
|---|---|
| Address | Po Box 329, Supply, North Carolina |
| Phone Number | 9107547850 |
| Fax Number | 9107556334 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1700814563 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 329 |
|---|---|
| City | Supply |
| State | North Carolina (NC) |
| Post Code | 284620329 |
| Phone Number | 9107547850 |
| Fax Number | 9107556334 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5832 |
|
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8996001 | NC | -- | |
| 96001 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jeffrey Tylon Mintz?
The Jeffrey Tylon Mintz has been issued the NPI (National Provider Identifier) 1700814563 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jeffrey Tylon Mintz is physically located?
The Jeffrey Tylon Mintz is physically situated at the following address: Po Box 329, Supply, NC, 284620329.
What is Jeffrey Tylon Mintz's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeffrey Tylon Mintz's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Jeffrey Tylon Mintz receive its 1700814563 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey Tylon Mintz was assigned its 1700814563 by the Centers for Medicare & Medicaid Services on 2006-06-29.
When was the Jeffrey Tylon Mintz's information last updated?
The Jeffrey Tylon Mintz's information was last updated on 2007-07-08.