DR. MARK DOUGLAS MINTLINE DDS
NPI 1043642069
Dentist in Pomona, CA
About Dr. Mark Douglas Mintline Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK DOUGLAS MINTLINE DDS (NPI 1043642069) is an individual dentist in Pomona, California, licensed in California (62702) and active in the NPI registry since August 2013. He has opted out of Medicare through March 31, 2028 and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Mark Douglas Mintline Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 31, 2022 through March 31, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91766 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mark Mintline's NPI number?
The NPI number for Mark Mintline is 1043642069. It was assigned to this individual provider in the NPPES registry on August 1, 2013.
Where is Mark Mintline located?
Mark Mintline practices at 795 E. Second St. Suite 8, Pomona, CA 91766. The listed phone number is (909) 706-3910.
What is Mark Mintline's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Mark Mintline enrolled in Medicare?
No. Mark Mintline has opted out of Medicare through March 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Mark Mintline was last updated on October 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.
