Provider Demographics
NPI:1700894128
Name:ENSMINGER, NORMAN DENNIS (DDS)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:DENNIS
Last Name:ENSMINGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:ALTURAS
Mailing Address - State:CA
Mailing Address - Zip Code:96101-0066
Mailing Address - Country:US
Mailing Address - Phone:530-233-2900
Mailing Address - Fax:
Practice Address - Street 1:110 E 12TH ST
Practice Address - Street 2:
Practice Address - City:ALTURAS
Practice Address - State:CA
Practice Address - Zip Code:96101-3306
Practice Address - Country:US
Practice Address - Phone:530-233-3543
Practice Address - Fax:530-233-6752
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA188251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice