# DR. SYLVAN STEWART MINTZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1245214139
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4351 | MD | Yes |

## Other

- **Enumeration date:** 12/04/2005
- **Last updated:** 08/30/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 41813103 | CAREFIRST BLUE CROSS | MD |
| 01 | — | 491230 | MEDICARE PROVIDER | MD |