Provider Demographics
NPI:1235269077
Name:WEBB, DAVID MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:WEBB
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:771 BUSCHMANN RD.
Mailing Address - Street 2:STE. D
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969
Mailing Address - Country:US
Mailing Address - Phone:530-877-9308
Mailing Address - Fax:530-877-0559
Practice Address - Street 1:771 BUSCHMANN RD
Practice Address - Street 2:STE. D
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969-5848
Practice Address - Country:US
Practice Address - Phone:530-877-9308
Practice Address - Fax:530-877-0559
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA331691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice