Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY IAN FACTOR, D.D.S.
Active Sole ProprietorDR. JEREMY IAN FACTOR, D.D.S. is a Periodontology healthcare provider located in LA MESA, California. NPI 1215091251 is currently active in the NPPES registry. Verify at CMS.
Periodontology · LA MESA, CA
Registration Details
- NPI Number
- 1215091251
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 21, 2006 (19.613653920793 yrs)
- Last Updated
- Nov 5, 2009
- License
-
54139 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6080 LAKE MURRAY BLVDSUITE ALA MESA, CA, 919422572Browse CA providers · Browse ZIP 91942
- Phone
- 6194666666
- Fax
- 6194662639
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in LA MESA, CA
| Name | Credential | NPI |
|---|---|---|
| SERGIO BERKSTEIN | D.D.S.,M.S. | 1780602623 |
| DR. EDWARD CHARLES BOWLER | D.D.S. | 1518978576 |
| DR. BROCK JASON LORENZ | D.M.D., M.S. | 1861839243 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.