Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114059854 Individual Practitioner Male Practitioner

Dr. Scott W Packham , DDS

Dentist - General Practice • Camarillo, CA

Professional Overview & Biography Verified Profile Summary

Dr. Scott Packham, DDS is a registered healthcare professional specializing in Dentist - General Practice in Camarillo, CA. Practice services are available at 450 ROSEWOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

450 Rosewood Ave
Suite 105

Camarillo, CA 930105914

Telephone 8054841022
Fax 8054843221
Associated Practice Facility / Clinic
🏢 Pdap Of Ventura County, Inc. Facility NPI 1346360930

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Camarillo, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
42 Specialists

Practicing in Camarillo, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 38345

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID United Concordia
850412 & 781138 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. John Endow , DDS

Dentist - Periodontics

NPI 1144352766

Doctor of Dental Surgery

Dr. Shamala Pizza , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1205987765

Doctor of Dental Medicine

Dr. Kenneth Anderson , DDS

Dentist - General Practice

NPI 1265564868

Doctor of Dental Surgery

Dr. Matthew Pizza , DMD

Dentist - General Practice

NPI 1649302308

Doctor of Dental Medicine

Dr. Robert Sprague , DDS

Dentist - General Practice

NPI 1861524571

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 450 ROSEWOOD AVE, SUITE 105, CAMARILLO, CA 930105914 (Tel: 8054841022)

📍
Updated Business Mailing Address July 08, 2007

Registered at 450 ROSEWOOD AVE, SUITE 105, CAMARILLO, CA 930105914 (Tel: 8054841022)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SCOTT PACKHAM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #38345 in CA)

🟢
Initial NPI Registration & Enumeration March 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114059854
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

450 Rosewood Ave, Suite 105

Camarillo, CA 930105914

Phone: 8054841022

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.