Healthcare Provider Details

I. General information

NPI: 1164685780
Provider Name (Legal Business Name): JOSEPH BARRY WECHSLER DDS A DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2059 W AVE K
LANCASTER CA
93536
US

IV. Provider business mailing address

2059 W AVE K
LANCASTER CA
93536
US

V. Phone/Fax

Practice location:
  • Phone: 661-945-0929
  • Fax: 661-210-3420
Mailing address:
  • Phone: 661-945-0929
  • Fax: 661-210-3420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. MITCHELL A WECHSLER
Title or Position: OWNER
Credential: DDS
Phone: 661-945-0929