Provider Demographics
NPI:1598820938
Name:GERSHFELD, ROGER GREGORY (DMD)
Entity type:Individual
Prefix:DR
First Name:ROGER
Middle Name:GREGORY
Last Name:GERSHFELD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 NEW LOS ANGELES AVE STE E
Mailing Address - Street 2:
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93021-2066
Mailing Address - Country:US
Mailing Address - Phone:805-529-1000
Mailing Address - Fax:805-507-9050
Practice Address - Street 1:537 NEW LOS ANGELES AVE STE E
Practice Address - Street 2:
Practice Address - City:MOORPARK
Practice Address - State:CA
Practice Address - Zip Code:93021-2066
Practice Address - Country:US
Practice Address - Phone:805-529-1000
Practice Address - Fax:805-507-9050
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA468001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG92918-01OtherDENTI-CAL