MEDICARE: DR. JEFF DENNIS PEPPARD D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	37003	CA

General Provider Information

NPI Number	:	1154546075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFF DENNIS PEPPARD D.D.S.

Provider Business Mailing Address
First Line	:	7 ASHLEY AVE
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93103-3307
Country	:	US
Telephone Number	:	805-962-1237
Fax Number	:	805-963-4787

Provider Business Practice Location Address
First Line	:	7 ASHLEY AVE
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93103-3307
Country	:	US
Telephone Number	:	805-962-1237
Fax Number	:	805-963-4787

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	03/10/2014

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