Healthcare Provider Details

I. General information

NPI: 1013848845
Provider Name (Legal Business Name): NEWBURY PARK DENTAL ARTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S REINO RD STE 100
NEWBURY PARK CA
91320-4285
US

IV. Provider business mailing address

400 S REINO RD STE 100
NEWBURY PARK CA
91320-4285
US

V. Phone/Fax

Practice location:
  • Phone: 805-498-0400
  • Fax:
Mailing address:
  • Phone: 805-498-0400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON VERDI
Title or Position: DOCTOR
Credential:
Phone: 805-498-0400