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SANTA YNEZ TRIBAL HEALTH CLINIC NPI 1699861302


NPI Information

NPI: 1699861302
Provider Name: SANTA YNEZ TRIBAL HEALTH CLINIC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 05D2161740

Address:
90 VIA JUANA RD
SANTA YNEZ, CA
ZIP 93460
Phone: (805) 688-7070
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SANTA YNEZ TRIBAL HEALTH CLINIC is a general practice dentist in Santa Ynez, CA. The provider is 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. SANTA YNEZ TRIBAL HEALTH CLINIC NPI is 1699861302. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

90 VIA JUANA RD
SANTA YNEZ, CA
ZIP 93460-679
Phone: (805) 688-7070

The provider's authorized official is Guy Markham .
The authorized official title is Dental Director and has the following contact phone number (805) 688-7070.

The CLIA number assigned to this NPI record is 05D2161740 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 7/21/2022.


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
11223G0001XDentistGeneral Practice48061CALIFORNIAYes

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: 4/28/2024

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