Miguel Ismael Bustamante, DDS - Dentist in Bolinas, CA

Miguel Ismael Bustamante, DDS is a Dentist - General Practice based in Bolinas, California. Miguel Ismael Bustamante is licensed to practice in California (license number 034821) and his current practice location is 24 Wharf Road, Bolinas, California. He can be reached at his office (for appointments etc.) via phone at (415) 868-0911.

NPI number for Miguel Ismael Bustamante is 1194160341 and his current mailing address is Po Box 975, Bolinas, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194160341.

Contact Information

Miguel Ismael Bustamante, DDS
24 Wharf Road,
Bolinas, CA 94924
(415) 868-0911
(415) 868-2324



Healthcare Provider's Profile

Full NameMiguel Ismael Bustamante
GenderMale
SpecialityDentist - General Practice
Location24 Wharf Road, Bolinas, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194160341
  • Provider Enumeration Date: 05/01/2013
  • Last Update Date: 05/01/2013

Medical Identifiers

Medical identifiers for Miguel Ismael Bustamante such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194160341NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 034821 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miguel Ismael Bustamante is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miguel Ismael Bustamante, DDS
Po Box 975,
Bolinas, CA 94924-0975

Ph: (415) 868-0911
Miguel Ismael Bustamante, DDS
24 Wharf Road,
Bolinas, CA 94924

Ph: (415) 868-0911

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Dentist in Bolinas, CA

Dr. Bryan Ivan Barientos, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 79 Wharf Rd, Bolinas, CA 94924
Phone: 415-868-0168    Fax: 415-868-1304

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