JACQUELINE MEDINA DDS NPI 1679718514

NPI Information

NPI: 1679718514
Provider Name: JACQUELINE MEDINA, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
515 DELAWARE ST SE FL 6
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 625-5945
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Jacqueline Medina, DDS is a general practice dentist in Minneapolis, MN. 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. Jacqueline Medina, DDS NPI is 1679718514. 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:

515 DELAWARE ST SE FL 6
MINNEAPOLIS, MN
ZIP 55455-357
Phone: (612) 625-5945

The enumeration date for this NPI number is 12/5/2008 and was last updated on 6/4/2019.

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	1223G0001X	Dentist	General Practice	37453	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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