George R. Walseth, D.D.S., Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22859 Issued in CA

Legal business name

GEORGE R. WALSETH, D.D.S., INC

Practice address

23 W Micheltorena St
Santa Barbara, CA 93101-2509

Phone

(805) 963-0663

Fax

(805) 963-0566

NPI assigned

Aug 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George Reynolds Walseth, D.D.S.

Title

Corporation

Phone

(805) 963-0663

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1598958183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W MICHELTORENA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012509",
            "telephone_number": "805-963-0663",
            "fax_number": "805-963-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 W MICHELTORENA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012509",
            "telephone_number": "805-963-0663",
            "fax_number": "805-963-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE R. WALSETH, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "WALSETH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "REYNOLDS",
        "authorized_official_title_or_position": "CORPORATION",
        "authorized_official_telephone_number": "805-963-0663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "22859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.