Charles Wesley Ketcham, D.D.S.

General Practice Dentistry · Thousand Oaks, CA

Individual Active NPI

NPI number 1174667216

Practice location

228 Lombard St Ste C
Thousand Oaks, CA 91360-8202
Phone
(805) 496-3209
Fax
(805) 496-0351

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NPI record

NPI
1174667216
Entity type
Individual (Type 1)
Enumeration date
February 19, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 23839 CA

About Dr. Ketcham

Charles Wesley Ketcham, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 228 Lombard St Ste C, Thousand Oaks, CA 91360-8202. The NPI number 1174667216 was assigned on February 19, 2007 and the record was last updated on July 8, 2007.

Dr. Ketcham lists a license in the registry: #23839 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles Wesley Ketcham, D.D.S.?

The NPI number is 1174667216.

What is the phone number of Dr. Ketcham?

The phone number listed for the practice location is (805) 496-3209.

Where is Dr. Ketcham located?

228 Lombard St Ste C, Thousand Oaks, CA 91360-8202.

What is the taxonomy code for Dr. Ketcham?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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