Provider Demographics
NPI:1699313015
Name:PAUL ERBEN DMD MSD PC
Entity type:Organization
Organization Name:PAUL ERBEN DMD MSD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:ERBEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:805-349-2222
Mailing Address - Street 1:937 E MAIN ST STE 204
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-5309
Mailing Address - Country:US
Mailing Address - Phone:805-349-2222
Mailing Address - Fax:805-922-1998
Practice Address - Street 1:937 E MAIN ST STE 204
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-5309
Practice Address - Country:US
Practice Address - Phone:805-349-2222
Practice Address - Fax:805-922-1998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty