Healthcare Provider Details

I. General information

NPI: 1972639243
Provider Name (Legal Business Name): WILLIAM LEE SCHAMBACH DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 02/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E ESPLANADE DR STE 1600
OXNARD CA
93036-1283
US

IV. Provider business mailing address

2232 BERMUDA DUNES PL
OXNARD CA
93036-2781
US

V. Phone/Fax

Practice location:
  • Phone: 805-488-0544
  • Fax: 805-456-2164
Mailing address:
  • Phone: 805-488-0544
  • Fax: 805-456-2164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number48010
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number48010
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: