Mintz, Talya
Mintz, Talya is an sole proprietor health care provider with primary practice located at 2120 Sarno Rd , Melbourne FL 32935-3084. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Mintz, Talya can be contacted via phone (321) 241-6800.Contact Information
Primary practice address
2120 Sarno Rd
Melbourne FL 32935-3084
Phone: (321) 241-6800
Fax: (321) 241-6890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D12200 | Minnesota |
| Dental Providers / Dentist | 122300000X | 22572 | Texas |
| Dental Providers / Dentist | 122300000X | 019026422 | Illinois |
| Dental Providers / Dentist | 122300000X | 6476015 | Wisconsin |
| Dental Providers / Dentist | 122300000X | HAD116 | Florida |
Profile Details
| NPI number | 1255418588 |
|---|---|
| LBN Legal business name | Mintz, Talya |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Aug 3rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255418588 | NPPES |
| Florida | MEDICAID | 113689800 |
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