Provider Demographics
NPI:1346470952
Name:DAVID R. NEUMEISTER, DDS, INC.
Entity Type:Organization
Organization Name:DAVID R. NEUMEISTER, DDS, INC.
Other - Org Name:VISTA PACIFIC DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:NEUMEISTER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-604-7695
Mailing Address - Street 1:1801 SOLAR DR STE 140
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-8225
Mailing Address - Country:US
Mailing Address - Phone:805-604-7695
Mailing Address - Fax:805-604-9097
Practice Address - Street 1:1801 SOLAR DR STE 140
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-8225
Practice Address - Country:US
Practice Address - Phone:805-604-7695
Practice Address - Fax:805-604-9097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA256051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty