Provider Demographics
NPI:1235334210
Name:J SCHECHTER, DDS, INC.
Entity Type:Organization
Organization Name:J SCHECHTER, DDS, INC.
Other - Org Name:MOUNTAIN VIEW DENTISTRY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SCHECHTER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-880-4023
Mailing Address - Street 1:26560 AGOURA RD STE 102
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1949
Mailing Address - Country:US
Mailing Address - Phone:818-880-4023
Mailing Address - Fax:818-936-0411
Practice Address - Street 1:26560 AGOURA RD STE 102
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1949
Practice Address - Country:US
Practice Address - Phone:818-880-4023
Practice Address - Fax:818-936-0411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA313781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty