Provider Demographics
NPI:1750276994
Name:JHONNY CASTRO TIGRE DDS INC
Entity type:Organization
Organization Name:JHONNY CASTRO TIGRE DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JHONNY
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO TIGRE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-364-2303
Mailing Address - Street 1:312 LADERA ST APT 5
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-4594
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2323 DE LA VINA ST STE 203
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3879
Practice Address - Country:US
Practice Address - Phone:805-364-2303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty