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NPI Code Detail

MEDICARE: JEFF D. PEPPARD D.D.S, INC.

MEDICARE: JEFF D. PEPPARD D.D.S, INC.
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
1122300000XDentist

General Provider Information

NPI Number : 1164842704
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFF D. PEPPARD D.D.S, INC.
Provider Business Mailing Address
First Line : 7 ASHLEY AVE
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93103-3307
Country : US
Telephone Number :
Fax Number :
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 : OWNER
Name : DR. JEFF DENNIS PEPPARD
Credential : DDS
Telephone Number : 805-962-1237
Provider Enumeration Date : 04/22/2014
Last Update Date : 04/22/2014

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