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MIGUEL MASTACHE DDS
NPI 1063963668
Dentist in Tijuana, BAJA CALIFORNIA

Active since October 18, 2016
CALLE 4A ESQUINA AVE F 595, ZONA CENTRO, TIJUANA, BAJA CALIFORNIA 22000(664) 685-0560(866) 272-6924 Get Directions Write a Review

NPPES record last updated: October 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miguel Mastache Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIGUEL MASTACHE DDS (NPI 1063963668) is a healthcare organization registered as a dentist in Tijuana, BAJA CALIFORNIA and active in the NPI registry since October 2016. The organization lists Miguel Angel Mastache Guevara, Dentist, as its authorized official.

NPPES Registry Identity

NPI1063963668
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMIGUEL MASTACHE
Location AddressCALLE 4A ESQUINA AVE F 595, ZONA CENTROTijuana, BAJA CALIFORNIA 22000
Mailing Address4275 Executive Sq, Ste 200La Jolla, CA 92037-9123 · (800) 743-3900 · Fax (866) 272-6924
Phone(664) 685-0560
Fax(866) 272-6924
Organization SubpartNo
Authorized OfficialMiguel Angel Mastache GuevaraDentist · (664) 685-0560
Enumeration DateOctober 18, 2016
✔ NPI 1063963668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ZZ · 6493848
Definition
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.
CALLE 4A ESQUINA AVE F 595, Tijuana, BAJA CALIFORNIA 22000
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Other Names 1

Doing Business AsMiguel Mastache Dds

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Miguel Mastache's NPI number?

The NPI number for Miguel Mastache is 1063963668. It was assigned to this organization in the NPPES registry on October 18, 2016. The provider is doing business as Miguel Mastache Dds.

Where is Miguel Mastache located?

Miguel Mastache is located at Calle 4A Esquina Ave F 595 Zona Centro, Tijuana, BAJA CALIFORNIA 22000. The listed phone number is (664) 685-0560.

What is Miguel Mastache's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Miguel Mastache was last updated on October 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.