Provider Demographics
NPI:1770828188
Name:DUNNE, JESSICA GOLDENBERG (DDS)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:GOLDENBERG
Last Name:DUNNE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JESSICA
Other - Middle Name:ALISE
Other - Last Name:GOLDENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:5700 RALSTON ST
Mailing Address - Street 2:SUITE #310
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-6050
Mailing Address - Country:US
Mailing Address - Phone:805-642-4541
Mailing Address - Fax:805-642-5621
Practice Address - Street 1:5700 RALSTON ST
Practice Address - Street 2:SUITE #310
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-6050
Practice Address - Country:US
Practice Address - Phone:805-642-4541
Practice Address - Fax:805-642-5621
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA614621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice