Healthcare Provider Details

I. General information

NPI: 1902796246
Provider Name (Legal Business Name): ZACHARY JAMES ESCHENBERG DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 MCHUGH BLVD
CAMP LEJEUNE NC
28547
US

IV. Provider business mailing address

5143 VIA EL MOLINO
NEWBURY PARK CA
91320-6995
US

V. Phone/Fax

Practice location:
  • Phone: 910-450-4740
  • Fax:
Mailing address:
  • Phone: 805-490-6932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14228369-9926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: