Healthcare Provider Details

I. General information

NPI: 1447053467
Provider Name (Legal Business Name): FOLMSBEE DENTAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2025
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

995 W 7TH ST
OXNARD CA
93030-6757
US

IV. Provider business mailing address

543 COUNTRY CLUB DR # B-605
SIMI VALLEY CA
93065-0637
US

V. Phone/Fax

Practice location:
  • Phone: 805-890-2301
  • Fax:
Mailing address:
  • Phone: 805-890-2301
  • Fax: 805-204-0973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DIANA FOLMSBEE
Title or Position: DENTIST
Credential: DMD
Phone: 805-890-2301