Provider Demographics
NPI:1437272457
Name:DAVID L. CAREY, D.D.S.
Entity Type:Organization
Organization Name:DAVID L. CAREY, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-736-1997
Mailing Address - Street 1:619 E OCEAN AVE
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-6914
Mailing Address - Country:US
Mailing Address - Phone:805-736-1997
Mailing Address - Fax:805-737-7171
Practice Address - Street 1:619 E OCEAN AVE
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-6914
Practice Address - Country:US
Practice Address - Phone:805-736-1997
Practice Address - Fax:805-737-7171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA215521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty