Healthcare Provider Details

I. General information

NPI: 1760326565
Provider Name (Legal Business Name): JAY BRUCE MCCOY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 W GONZALES RD STE A
OXNARD CA
93036-7788
US

IV. Provider business mailing address

PO BOX 3532
VENTURA CA
93006-3532
US

V. Phone/Fax

Practice location:
  • Phone: 805-746-5681
  • Fax:
Mailing address:
  • Phone: 805-746-5681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number59165
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: