Provider Demographics
NPI:1699806679
Name:SHINDLER, PHILIP HERBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:HERBERT
Last Name:SHINDLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:BEVERLEY
Other - Middle Name:
Other - Last Name:SHINDLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OM
Mailing Address - Street 1:960 S WESTLAKE BLVD
Mailing Address - Street 2:# 201
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-3103
Mailing Address - Country:US
Mailing Address - Phone:805-495-0187
Mailing Address - Fax:805-495-0365
Practice Address - Street 1:960 S WESTLAKE BLVD
Practice Address - Street 2:# 201
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-3103
Practice Address - Country:US
Practice Address - Phone:805-495-0187
Practice Address - Fax:805-495-0365
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31385122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist