Individual provider · Type 1 NPI

Mark Grant Medinnus, DDS

General Practice Dentistry · Fort Jones, CA

NPI number 1003065988 Active

Practice location

9024 Sniktaw Ln
Fort Jones, CA 96032-9408

Mailing address

PO Box 302
Mad River, CA 95552-4302

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X33630 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1003065988

Mark Grant Medinnus, DDS's National Provider Identifier is 1003065988, issued on Sep 16, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Jones, CA. The record was last updated on Mar 19, 2016.