Guy William Mendivil in Bakersfield - Orthodontics And Dentofacial Orthopedics

Guy William Mendivil - NPI 1912054271

Guy William Mendivil is a Orthodontics And Dentofacial Orthopedics in Bakersfield, California. Guy William Mendivil practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Guy William Mendivil is 1912054271. The last update date is 2007-08-20.

Guy William Mendivil's current location address is 515 W Columbus St Ste A&b, Bakersfield, California. You can contact this provider via phone number 6613235910 and fax number 6613235911. The mailing address for Guy William Mendivil is 515 W Columbus St Ste A&b, Bakersfield, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Guy William Mendivil
Address 515 W Columbus St Ste A&b, Bakersfield, California
Phone Number 6613235910
Fax Number 6613235911
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1912054271
Provider Enumeration Date 2007-01-05
Last Updated Date 2007-08-20

Provider Mailing Address Detail

Address 515 W Columbus St Ste A&b
City Bakersfield
State California (CA)
Post Code 933015846
Phone Number 6613235910
Fax Number 6613235911

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No D29737
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D629737 CA DELTA DENTAL PREFIX ID
G93914-01 CA --
CGP170062 CA --

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FAQs about Guy William Mendivil

What is the Guy William Mendivil's 1912054271?

The Guy William Mendivil's NPI (National Provider Identifier) Number is 1912054271. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Guy William Mendivil?

The Guy William Mendivil is situated at 515 W Columbus St Ste A&B, in the city of Bakersfield, state of CA, with the zip code 933015846.

What is the Guy William Mendivil's specialty and taxonomy code?

The Guy William Mendivil's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.

On what date did the Guy William Mendivil receive the assignment of its 1912054271 from the Centers for Medicare & Medicaid Services?

The Guy William Mendivil was issued its 1912054271 by the Centers for Medicare & Medicaid Services on 2007-01-05.

As of what date was the information regarding Guy William Mendivil, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Guy William Mendivil, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-20.

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