Provider Demographics
NPI:1609143643
Name:TRESSLER, DARRYL RAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DARRYL
Middle Name:RAY
Last Name:TRESSLER
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 1:5350 HOLLISTER AVE STE A1
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2326
Mailing Address - Country:US
Mailing Address - Phone:805-964-6437
Mailing Address - Fax:805-964-6263
Practice Address - Street 1:5350 HOLLISTER AVE STE A1
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2326
Practice Address - Country:US
Practice Address - Phone:805-964-6437
Practice Address - Fax:805-964-6263
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA386141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice