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

Individual provider Dentist · NPI 1639368582

Jeremy Ryan Vistica, DMD is a Dentist in Huntington Beach, California. Licensed in California, Oregon and Virginia. Registered with an NPI since 2007.

Licensed in
CA, OR, VA
In the registry since
2007
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5512 Maryport Dr
Huntington Beach, CA 92649-4821
Phone: (503) 706-5944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 109231 (CA)
Dentist Taxonomy 122300000X · Licence 0401417561 (VA)
Dentist Taxonomy 122300000X · Licence D8993 (OR)

Record details

NPI number1639368582
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedOctober 16, 2007
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

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