Provider Demographics
NPI:1427214659
Name:HIMEL, DONALD S (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:S
Last Name:HIMEL
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 1:8968 BROOKS RD S
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CA
Mailing Address - Zip Code:95492-7810
Mailing Address - Country:US
Mailing Address - Phone:707-837-2150
Mailing Address - Fax:707-837-2153
Practice Address - Street 1:8968 BROOKS RD S
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CA
Practice Address - Zip Code:95492-7810
Practice Address - Country:US
Practice Address - Phone:707-837-2150
Practice Address - Fax:707-837-2153
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA330981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice