Healthcare Provider Details

I. General information

NPI: 1427275114
Provider Name (Legal Business Name): JEFFREY D HEMPEL D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33342 SANTIAGO RD
ACTON CA
93510-1429
US

IV. Provider business mailing address

33342 SANTIAGO RD
ACTON CA
93510-1429
US

V. Phone/Fax

Practice location:
  • Phone: 661-269-0610
  • Fax: 661-269-4803
Mailing address:
  • Phone: 661-269-0610
  • Fax: 661-269-4803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number29290
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: