Provider Demographics
NPI:1932409620
Name:NEUENSCHWANDER, ALAN LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LEE
Last Name:NEUENSCHWANDER
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 1:515 E MICHELTORENA ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-2257
Mailing Address - Country:US
Mailing Address - Phone:805-687-2000
Mailing Address - Fax:
Practice Address - Street 1:515 E MICHELTORENA ST
Practice Address - Street 2:SUITE F
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-2257
Practice Address - Country:US
Practice Address - Phone:805-687-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA291751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice