Organization
GUY W MENDIVIL DDS PROFESSIONAL DENTAL CORP
Active
Other names
Bakersfield Orthodontic Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUY W MENDIVIL DDS (OWNER)
(661) 323-5910
Entity
Organization
Contact information
Practice address
515 W COLUMBUS ST STE AB, BAKERSFIELD, CA 93301-5846
(661) 323-5910
Mailing address
515 W COLUMBUS ST STE AB, BAKERSFIELD, CA 93301-5846
(661) 323-5910
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D29737
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170062
CGP
CA
01
—
G9391401
DENTI-CAL
CA
Enumeration date
01/30/2007
Last updated
06/22/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up