Phillip Opperman, D.D.S.
Individual provider Active NPI General Practice Dentistry · Cambria, CA
NPI 1407929987 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407929987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 20034 (CA)
- Practice address
- 2150 Main St
Suite 4
Cambria, CA 93428-3022 - Phone
- (805) 927-4811
- Fax
- (805) 927-0818
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20034 | CA | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20034 | CA | Yes |
Addresses
Primary practice location
2150 Main St
Suite 4
Cambria, CA 93428-3022
Mailing address
2150 Main St
Suite 4
Cambria, CA 93428-3022
Phone (805) 927-4811
Other providers in Cambria, CA
- David Leroy McBride
- McCain Physical Therapy Inc.
- John McCain
- Lillian Elizabeth Metteer
- Laura Ashley Murphy
- Edward A. Palmer
- Paul F. Nielson, M.D., Inc.
- Dennis Alan Perry
- Kathryn A Perry
- Mary Elizabeth Phillips
All providers in Cambria, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.