Roy Evan Mintzer in Santa Barbara - Periodontics
Roy Evan Mintzer - NPI 1053323949
Roy Evan Mintzer is a Periodontics in Santa Barbara, California. Roy Evan Mintzer practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Roy Evan Mintzer is 1053323949. The last update date is 2007-07-08.
Roy Evan Mintzer's current location address is 2780 State St, Santa Barbara, California. You can contact this provider via phone number 8056825600 and fax number 8056825112. The mailing address for Roy Evan Mintzer is 2780 State St, Santa Barbara, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roy Evan Mintzer |
|---|---|
| Address | 2780 State St, Santa Barbara, California |
| Phone Number | 8056825600 |
| Fax Number | 8056825112 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1053323949 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2780 State St |
|---|---|
| City | Santa Barbara |
| State | California (CA) |
| Post Code | 931055518 |
| Phone Number | 8056825600 |
| Fax Number | 8056825112 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 36982 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique identification code assigned to Roy Evan Mintzer by the Centers for Medicare & Medicaid Services?
The Roy Evan Mintzer has been issued the NPI (National Provider Identifier) 1053323949. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Roy Evan Mintzer's facilities are situated?
The facilities of Roy Evan Mintzer are physically located at the following address: 2780 State St, Santa Barbara, CA, 931055518.
What is Roy Evan Mintzer's area of expertise and its corresponding taxonomy classification?
The Roy Evan Mintzer's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
On what date did Roy Evan Mintzer receive its 1053323949 assignment from the Centers for Medicare & Medicaid Services?
The Roy Evan Mintzer was assigned its 1053323949 on 2006-08-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Roy Evan Mintzer most recently updated or revised?
The information pertaining to Roy Evan Mintzer, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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