Eric Castle, DMD, MS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Orcutt, CA
NPI 1669900593 · NPPES record last updated May 23, 2017
Key facts
- NPI
- 1669900593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 101359 (CA)
- Practice address
- 1070 E Clark Ave
Orcutt, CA 93455-5038 - Phone
- (805) 937-3003
- NPI assigned
- May 23, 2017
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101359 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 101359 | CA | Yes |
Addresses
Primary practice location
1070 E Clark Ave
Orcutt, CA 93455-5038
Mailing address
1070 E Clark Ave
Orcutt, CA 93455-5038
Other providers in Orcutt, CA
- Connor Bentley
- Michael I Callis
- Moises Caro
- Mikaela Carrillo
- Casa del Mar Group Home
- Susan R Catron
- Daniela Ceja Gomez
- Daniel Christensen
- Coast to Coast Medical Transportation
- Kathryn L Connors
All providers in Orcutt, CA · Orthodontics and Dentofacial Orthopedics 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 May 23, 2017. 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.