Heather Cleary, DDS
Individual provider Active NPI Dentist · Moorpark, CA
NPI 1598518599 · NPPES record last updated Jul 2, 2024
Key facts
- NPI
- 1598518599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DDS110145 (CA)
- Practice address
- 806 New Los Angeles Ave Ste B
Moorpark, CA 93021-3609 - Phone
- (805) 529-1743
- NPI assigned
- Apr 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| DDS110145 | CA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS110145 | CA | Yes |
Addresses
Primary practice location
806 New Los Angeles Ave Ste B
Moorpark, CA 93021-3609
Mailing address
4638 Sepulveda Blvd Apt 8
Sherman Oaks, CA 91403-2726
Phone (952) 486-1074
Other providers in Moorpark, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2024. 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.