Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Channel Islands Oral and Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1598419723

Channel Islands Oral and Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Camarillo, California. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4043 Mission Oaks Blvd
Camarillo, CA 93012-5156
Phone: (805) 738-3287
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 67 S Glenn Dr, Camarillo, CA 93010-7944 — (805) 738-3287

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1598419723
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesse Lanzon — Owner · (510) 388-3233
NPI enumeratedFebruary 7, 2022
Last updated in NPPESMarch 4, 2022
Certification dateMarch 4, 2022
Mailing address4043 Mission Oaks Blvd, Camarillo, CA 93012-5156