Guy W Mendivil, D.D.S. Professional Dental Corporation in Oceanside - Orthodontics And Dentofacial Orthopedics

Guy W Mendivil, D.D.S. Professional Dental Corporation - NPI 1902073307

Guy W Mendivil, D.D.S. Professional Dental Corporation is a Orthodontics And Dentofacial Orthopedics in Oceanside, California. Guy W Mendivil, D.D.S. Professional Dental Corporation practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Guy W Mendivil, D.D.S. Professional Dental Corporation is 1902073307. The last update date is 2015-07-01.

Guy W Mendivil, D.D.S. Professional Dental Corporation's current location address is 3998 Vista Way Suite B, Oceanside, California. You can contact this provider via phone number 7609451420 and fax number 7609454692. The mailing address for Guy W Mendivil, D.D.S. Professional Dental Corporation is 3998 Vista Way Suite B, Oceanside, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Guy W Mendivil, D.D.S. Professional Dental Corporation
Address 3998 Vista Way Suite B, Oceanside, California
Phone Number 7609451420
Fax Number 7609454692
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Mendivil W Guy
Credentials DDS
Telephone Number 7609454692

NPI Number Detail

NPI Number 1902073307
Provider Enumeration Date 2008-05-14
Last Updated Date 2015-07-01

Provider Mailing Address Detail

Address 3998 Vista Way Suite B
City Oceanside
State California (CA)
Post Code 92056
Phone Number 7609451420
Fax Number 7609454692

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
G93914-02 CA MEDI-CAL/DENTI-CAL
G9391402 CA DENTI-CAL PROVIDER

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FAQs about Guy W Mendivil, D.D.S. Professional Dental Corporation

What is the unique provider identifier assigned to Guy W Mendivil, D.D.S. Professional Dental Corporation?

The Guy W Mendivil, D.D.S. Professional Dental Corporation has been issued the NPI (National Provider Identifier) 1902073307 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Guy W Mendivil, D.D.S. Professional Dental Corporation's facilities are geographically located?

The facilities of Guy W Mendivil, D.D.S. Professional Dental Corporation are physically situated at the following location: 3998 Vista Way Suite B, Oceanside, CA, 92056.

What is Guy W Mendivil, D.D.S. Professional Dental Corporation's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Guy W Mendivil, D.D.S. Professional Dental Corporation is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.

On what date did Guy W Mendivil, D.D.S. Professional Dental Corporation receive its 1902073307 assignment from the Centers for Medicare & Medicaid Services?

The Guy W Mendivil, D.D.S. Professional Dental Corporation was assigned its 1902073307 on 2008-05-14, 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 Guy W Mendivil, D.D.S. Professional Dental Corporation most recently updated or revised?

The information pertaining to Guy W Mendivil, D.D.S. Professional Dental Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2015-07-01.

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