Provider Demographics
NPI:1710362470
Name:PAPWORTH, JEFFREY ROYLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:ROYLE
Last Name:PAPWORTH
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 1:40250 MURRIETA HOT SPRINGS RD
Mailing Address - Street 2:SUITE 119
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-4961
Mailing Address - Country:US
Mailing Address - Phone:951-698-4426
Mailing Address - Fax:951-698-7570
Practice Address - Street 1:40250 MURRIETA HOT SPRINGS RD
Practice Address - Street 2:SUITE 119
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-4961
Practice Address - Country:US
Practice Address - Phone:951-698-4426
Practice Address - Fax:951-698-7570
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64755122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist