MEDICARE: CYNTHIA COEANNE COPELAND-CIANI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	52217	CA

General Provider Information

NPI Number	:	1578790903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA COEANNE COPELAND-CIANI DDS

Provider Business Mailing Address
First Line	:	1805 STATE ST
Second Line	:	SUITE A
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-8415
Country	:	US
Telephone Number	:	805-222-7713
Fax Number	:	805-687-1238

Provider Business Practice Location Address
First Line	:	1824 STATE ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-2420
Country	:	US
Telephone Number	:	805-222-7713
Fax Number	:	805-687-1238

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2009
Last Update Date	:	02/18/2021

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