Provider Demographics
NPI:1346276227
Name:TRESTER, JEFFREY NEIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:NEIL
Last Name:TRESTER
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 1:1601 EASTMAN AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-6481
Mailing Address - Country:US
Mailing Address - Phone:805-658-0232
Mailing Address - Fax:805-850-0107
Practice Address - Street 1:1601 EASTMAN AVE.
Practice Address - Street 2:SUITE 105
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-6471
Practice Address - Country:US
Practice Address - Phone:805-485-6266
Practice Address - Fax:805-485-5690
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA269301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice