Provider Demographics
NPI:1154546075
Name:PEPPARD, JEFF DENNIS (DDS)
Entity type:Individual
Prefix:DR
First Name:JEFF
Middle Name:DENNIS
Last Name:PEPPARD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 ASHLEY AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-3307
Mailing Address - Country:US
Mailing Address - Phone:805-962-1237
Mailing Address - Fax:805-963-4787
Practice Address - Street 1:7 ASHLEY AVE
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-3307
Practice Address - Country:US
Practice Address - Phone:805-962-1237
Practice Address - Fax:805-963-4787
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA370031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice