Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY RYAN VISTICA, DMD
ActiveJEREMY RYAN VISTICA, DMD is a Orthodontics healthcare provider located in HUNTINGTON BEACH, California. NPI 1639368582 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · HUNTINGTON BEACH, CA
Registration Details
- NPI Number
- 1639368582
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2007 (18.811923243797 yrs)
- Last Updated
- Oct 1, 2024
- Licenses
-
0401417561 (VA)D8993 (OR)109231 (CA)
Practice Information
- Address
-
5512 MARYPORT DRHUNTINGTON BEACH, CA, 926494821Browse CA providers · Browse ZIP 92649
- Phone
- 5037065944
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Dentist
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in HUNTINGTON BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID F TIPTON | DDS, MS | 1104899780 |
| DR. PATRICE S PUNIM | DMD | 1689787145 |
| DR. LISA MICHELLE ANGELICI | D.M.D., M.D.S. | 1003915810 |
| DR. ANDREW T. HARNER | DDS | 1053492355 |
| DR. FLORA CHEN | DDS | 1407931942 |
| DAVID SANGER | DDS | 1497821193 |
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.