Healthcare Provider Details

I. General information

NPI: 1396899894
Provider Name (Legal Business Name): JOSEPH R WESTBURY D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 PORTAL ST
OAK VIEW CA
93022-9722
US

IV. Provider business mailing address

PO BOX 1046 108 E. PORTAL STREET
OAK VIEW CA
93022-1046
US

V. Phone/Fax

Practice location:
  • Phone: 805-649-2727
  • Fax: 805-649-2018
Mailing address:
  • Phone: 805-649-2727
  • Fax: 805-649-2018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number37517
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: