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LONNIE W. TINER DDS APC NPI 1265636112


NPI Information

NPI: 1265636112
Provider Name: LONNIE W. TINER, DDS, APC

Doing Business As: HI-DESERT ORAL & MAXILLOFACIAL SURGERY CENTER

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
56669 29 PALMS HWY
SUITE A
YUCCA VALLEY, CA
ZIP 92284
Phone: (760) 365-0658
Get Directions

LONNIE W. TINER, DDS, APC is an oral and maxillofacial surgery dentist in Yucca Valley, CA. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. LONNIE W. TINER, DDS, APC NPI is 1265636112. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hi-desert Oral & Maxillofacial Surgery Center.

The provider's business location address is:

56669 29 PALMS HWY
SUITE A
YUCCA VALLEY, CA
ZIP 92284-219
Phone: (760) 365-0658
Fax: (760) 365-5308

The provider's authorized official is Lonnie W Tiner .
The authorized official title is President Owner and has the following contact phone number (760) 365-0658.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 7/24/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G9196501MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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