Provider Demographics
NPI:1801052998
Name:OCAMPO, MICHAEL ARMANDO (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ARMANDO
Last Name:OCAMPO
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 1:6280 W. LAS POSITAS BLVD.
Mailing Address - Street 2:SUITE 215
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-4942
Mailing Address - Country:US
Mailing Address - Phone:925-462-7117
Mailing Address - Fax:925-462-7934
Practice Address - Street 1:6280 W. LAS POSITAS BLVD.
Practice Address - Street 2:SUITE 215
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-4942
Practice Address - Country:US
Practice Address - Phone:925-462-7117
Practice Address - Fax:925-462-7934
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34534122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist