Provider Demographics
NPI:1790664589
Name:COLLINS AND MINGRONE D.D.S., P.C., CAMPBELL
Entity type:Organization
Organization Name:COLLINS AND MINGRONE D.D.S., P.C., CAMPBELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MINGRONE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-374-6160
Mailing Address - Street 1:42 W CAMPBELL AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-1042
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:42 W CAMPBELL AVE STE 204
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-1042
Practice Address - Country:US
Practice Address - Phone:408-374-6061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental