Provider Demographics
NPI:1467482422
Name:JAMES W MCLEOD DDS & D JOHN WEBB DDS
Entity Type:Organization
Organization Name:JAMES W MCLEOD DDS & D JOHN WEBB DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNERSHIP OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:MCLEOD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-497-8571
Mailing Address - Street 1:307 SOUTH MOORPARK ROAD
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-1008
Mailing Address - Country:US
Mailing Address - Phone:805-497-8571
Mailing Address - Fax:805-497-2781
Practice Address - Street 1:307 SOUTH MOORPARK ROAD
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-1008
Practice Address - Country:US
Practice Address - Phone:805-497-8571
Practice Address - Fax:805-497-2781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty