Provider Demographics
NPI:1659494573
Name:TRUEX, DON L (DDS)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:L
Last Name:TRUEX
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 1:6134 CALLE REAL
Mailing Address - Street 2:SUITE A
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-2066
Mailing Address - Country:US
Mailing Address - Phone:805-967-8300
Mailing Address - Fax:805-967-1410
Practice Address - Street 1:6134 CALLE REAL
Practice Address - Street 2:SUITE A
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-2066
Practice Address - Country:US
Practice Address - Phone:805-967-8300
Practice Address - Fax:805-967-1410
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA186561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA18656OtherSTATE LICENCE