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MR. CARLOS SANTANA MONTALVO IDC NPI 1114133113


NPI Information

NPI: 1114133113
Provider Name: MR. CARLOS SANTANA MONTALVO, IDC
Classification: Dental Hygienist - 124Q00000X
Entity Type: Individual
Address:
2700 ADAMS AVE STE 209
SAN DIEGO, CA
ZIP 92116
Phone: (619) 647-4599
Get Directions

MR. Carlos Santana Montalvo, IDC is a dental hygienist in San Diego, CA. The provider is an individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. MR. Carlos Santana Montalvo, IDC NPI is 1114133113. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2700 ADAMS AVE STE 209
SAN DIEGO, CA
ZIP 92116-367
Phone: (619) 647-4599
Fax: (888) 323-3119

The enumeration date for this NPI number is 5/15/2007 and was last updated on 11/7/2022.


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
11710I1002XMilitary Health Care ProviderIndependent Duty CorpsmanNo
2124Q00000XDental Hygienist31862CALIFORNIAYes

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
131862OTHERCALIFORNIABOARD OF DENTAL HYGIENE CALIFORNIA

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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