Provider Demographics
NPI:1659584654
Name:HUNTSINGER, JOHN E (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:E
Last Name:HUNTSINGER
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 1:5434 CHERRY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-5510
Mailing Address - Country:US
Mailing Address - Phone:805-231-8508
Mailing Address - Fax:
Practice Address - Street 1:4000 CALLE TECATE STE 206
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-5286
Practice Address - Country:US
Practice Address - Phone:805-379-1989
Practice Address - Fax:805-379-1988
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69781223G0001X
CA299491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice