Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043642069 Individual Practitioner Male Practitioner

Dr. Mark Douglas Mintline , DDS

Dentist • Pomona, CA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Mintline, DDS is a registered healthcare professional specializing in Dentist in Pomona, CA. Practice services are available at 795 E. SECOND ST. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

795 E. Second St.
Suite 8

Pomona, CA 91766

Telephone 9097063910
Fax 9094698650

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Pomona, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
54 Specialists

Practicing in Pomona, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 62702

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.

Dentist - Oral and Maxillofacial Pathology

NUCC Taxonomy Code: 1223P0106X

State License CA 62702

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

Secondary Practice Locations

1395 Center Dr # D8-12

Gainesville, FL 326100402

Phone: 3522736683

2540 Sister Mary Dr

Red Bluff, CA 960804327

Phone: 5306902778

740 Solano St

Corning, CA 960213352

Phone: 5306902827

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Tobias Boehm , DDS, PhD

Dentist - Periodontics

NPI 1235469529

Doctor of Dental Surgery, Doctor of Philosophy (Ph.D.)

Dr. Trang Nguyen , DDS

Dentist - Endodontics

NPI 1306996897

Doctor of Dental Surgery

Himali Patel

Student in an Organized Health Care Education/Training Program

NPI 1386535508
Dr. Hubert Chan , DDS

Dentist - General Practice

NPI 1417084070

Doctor of Dental Surgery

Johnson Li

Dentist

NPI 1548950306
Dr. David Lazarchik , DMD

Dentist - General Practice

NPI 1639100316

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location October 30, 2018

Registered at 795 E. SECOND ST., SUITE 8, POMONA, CA 91766 (Tel: 9097063910)

📍
Updated Business Mailing Address October 30, 2018

Registered at 795 E. SECOND ST., SUITE 8, POMONA, CA 917662007 (Tel: 9097063910)

📍
Updated Practice Location April 16, 2018

Registered at 2540 SISTER MARY DR, RED BLUFF, CA 960804327 (Tel: 5306902778)

📍
Updated Business Mailing Address April 16, 2018

Registered at 2540 SISTER MARY COLUMBA DR, RED BLUFF, CA 960804327 (Tel: 5306902778)

NPI Profile Active August 01, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2013

Registered at 1395 CENTER DR # D8-12, GAINESVILLE, FL 326100402 (Tel: 3522736683)

📍
Updated Business Mailing Address August 01, 2013

Registered at 1395 CENTER DR # D8-12, GAINESVILLE, FL 326100402 (Tel: 3522736683)

👤
Provider Name / Credentials Updated August 01, 2013

Recorded as MARK MINTLINE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2013

Dentist (License #62702 in CA)

🟢
Initial NPI Registration & Enumeration August 01, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043642069
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2013
Last Update: October 30, 2018
Sole Proprietor: No

Mailing Address

795 E. Second St., Suite 8

Pomona, CA 917662007

Phone: 9097063910

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.