MEDICARE: DR. NORMAN DENNIS ENSMINGER D.D.S

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	18825	CA

General Provider Information

NPI Number	:	1700894128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMAN DENNIS ENSMINGER D.D.S

Provider Business Mailing Address
First Line	:	PO BOX 66
Second Line	:
City	:	ALTURAS
State	:	CA
Zip	:	96101-0066
Country	:	US
Telephone Number	:	530-233-2900
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 E 12TH ST
Second Line	:
City	:	ALTURAS
State	:	CA
Zip	:	96101-3306
Country	:	US
Telephone Number	:	530-233-3543
Fax Number	:	530-233-6752

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

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. NORMAN DENNIS ENSMINGER D.D.S” Practice Location

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