DR. JEFFREY TYLON MINTZ D.D.S.
NPI 1700814563
Dentist - General Practice in Supply, NC

Q: What is Jeffrey Mintz's NPI number?

The NPI number for Jeffrey Mintz is 1700814563. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Q: What is Jeffrey Mintz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Mintz was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 29, 2006

988 OCEAN HWY W, SUPPLY, NC 28462(910) 754-7850(910) 755-6334 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jeffrey Tylon Mintz D.d.s. NPPES

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

DR. JEFFREY TYLON MINTZ D.D.S. (NPI 1700814563) is an individual general practice provider in Supply, North Carolina, licensed in North Carolina (5832) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1700814563

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JEFFREY TYLON MINTZCredential: D.D.S.

Location Address988 OCEAN HWY WSupply, NC 28462-4060

Mailing AddressPo Box 329Supply, NC 28462-0329 · (910) 754-7850 · Fax (910) 755-6334

Phone(910) 754-7850

Fax(910) 755-6334

Sole ProprietorNo

Enumeration DateJune 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1700814563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 5832

Definition

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.

988 OCEAN HWY W, Supply, NC 28462

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Other Identifiers 2

Medicaid8996001NC

Other96001Blue Cross Blue Shield

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN ROMULUS DDS PLLC

Dentist (General Practice)

988 OCEAN HWY W
SUPPLY, NC 28462

Brunswick County (910) 754-7850

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 Jeffrey Mintz's NPI number?

The NPI number for Jeffrey Mintz is 1700814563. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Jeffrey Mintz located?

Jeffrey Mintz practices at 988 Ocean Hwy W, Supply, NC 28462. The listed phone number is (910) 754-7850.

What is Jeffrey Mintz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jeffrey Mintz was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.