TALYA MINTZ DDS NPI 1255418588

NPI Information

NPI: 1255418588
Provider Name: TALYA MINTZ, DDS
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Individual
PECOS Registration: Yes
Address: 2120 SARNO RD
MELBOURNE, FL
ZIP 32935
Phone: (321) 241-6800

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NPI Details

Talya Mintz, DDS is a general practice dentist in Melbourne, FL. 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. Talya Mintz, DDS NPI is 1255418588. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2120 SARNO RD
MELBOURNE, FL
ZIP 32935-084
Phone: (321) 241-6800
Fax: (321) 241-6890

The NPI 1255418588 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 11/1/2006 and was last updated on 11/13/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		D12200	MINNESOTA	No
2	122300000X	Dentist		22572	TEXAS	No
3	122300000X	Dentist		019026422	ILLINOIS	No
4	122300000X	Dentist		6476015	WISCONSIN	No
5	1223G0001X	Dentist	General Practice	HAD116	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	113689800	MEDICAID	FLORIDA

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: 11/21/2025

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