Provider Demographics
NPI:1881027969
Name:TEMNITZER, ULF (DDS)
Entity Type:Individual
Prefix:DR
First Name:ULF
Middle Name:
Last Name:TEMNITZER
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 1:2305 MENDOCINO AVE STE A
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-3157
Mailing Address - Country:US
Mailing Address - Phone:707-525-1500
Mailing Address - Fax:707-525-0315
Practice Address - Street 1:2305 MENDOCINO AVE STE A
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-3157
Practice Address - Country:US
Practice Address - Phone:707-525-1500
Practice Address - Fax:707-525-0315
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA614331223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics