Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mina Anis, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629687645

Mina Anis, DDS is a Student in an Organized Health Care Education/Training Program in Brooklyn, New York. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone: (718) 613-7270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 106635 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629687645
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 27, 2020
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024
Mailing address23501 Cinema Dr Ste 114, Valencia, CA 91355-5429

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