| Tina Ngo, DDS | |
|
5335 Lakeshore Blvd, Lakeport, CA 95453-6123 | |
| (707) 263-7725 | |
| Not Available |
| Full Name | Tina Ngo |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 5335 Lakeshore Blvd, Lakeport, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043687007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 65027 (California) | Primary |
| Entity Name | Mendocino Community Health Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497961106 PECOS PAC ID: 6305755455 Enrollment ID: O20040826001483 |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Ngo, DDS 2388 Giselman St, Lakeport, CA 95453-3127 Ph: () - | Tina Ngo, DDS 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 Ph: (707) 263-7725 |
Dr. Alexander Russell Mcgeoch, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1870 N High St, Lakeport, CA 95453 Phone: 707-263-5427 Fax: 707-263-3925 | |
John Granville Jenkins, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5335 Lakeshore Blvd, Lakeport, CA 95453 Phone: 707-263-0196 Fax: 707-263-1439 | |
Dr. Marlin Noelia Duran, DDS Dentist Medicare: Medicare Enrolled Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8383 Fax: 707-263-5019 | |
Dr. Jai Goo Lee, DDS Dentist Medicare: Medicare Enrolled Practice Location: 925 Bevins Court, Lakeport, CA 95453 Phone: 707-263-8383 Fax: 707-263-5019 | |
Dr. James Edward Milani, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 800 11th St, Lakeport, CA 95453 Phone: 707-263-9992 Fax: 707-263-9994 | |
Dr. Jonathan Michael Drew, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 120 9th St, Lakeport, CA 95453 Phone: 707-263-5390 |