MEDICARE: JAY BRUCE MCCOY DDS

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	59165	CA

General Provider Information

NPI Number	:	1760326565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAY BRUCE MCCOY DDS

Provider Business Mailing Address
First Line	:	PO BOX 3532
Second Line	:
City	:	VENTURA
State	:	CA
Zip	:	93006-3532
Country	:	US
Telephone Number	:	805-746-5681
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 W GONZALES RD STE A
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93036-7788
Country	:	US
Telephone Number	:	805-746-5681
Fax Number	:

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

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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