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Licensing details for: 62204

Name: MCANINCH, DAVID LEWIS

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1111 EAST OCEAN AVE SUITE 9
LOMPOC CA 93436
SANTA BARBARA county
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Practice Location

1111 E Ocean Ave
Suite 9
LOMPOC CA 93436-7076
SANTA BARBARA county
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2425 Bath St
SANTA BARBARA CA 93105-4324
SANTA BARBARA county
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Issuance Date

February 26, 2013

Expiration Date

October 31, 2025

Current Date / Time

June 6, 2025
2:28:16 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: MCANINCH DENTAL GROUP, INC

License/Registration Type: Additional Office Permit

License Number: 79310 Primary Status: Cancelled

Address :
2425 Bath St
SANTA BARBARA CA 93105-4324
SANTA BARBARA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: OCEAN ORAL AND MAXILLOFACIAL SURGERY, PRACTICE OF MCANINCH DENTAL GROUP INC.

License/Registration Type: Fictitious Name Permit

License Number: 13556 Primary Status: Current - Active

Address :
2425 Bath St
SANTA BARBARA CA 93105-4324
SANTA BARBARA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LOMPOC ORAL AND MAXILLOFACIAL SURGERY DENTAL PRATICE OF DAVID MCANINCH IV DDS AND JESSE LANZON DDS MD

License/Registration Type: Fictitious Name Permit

License Number: 15432 Primary Status: Expired

Address :
1111 E OCEAN AVE STE 9
LOMPOC CA 93436
SANTA BARBARA COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: LOMPOC ORAL AND MAXILLOFACIAL SURGERY DENTAL PRATICE OF DAVID MCANINCH IV DDS AND JESSE LANZON DDS MD

License/Registration Type: Fictitious Name Permit

License Number: 15432 Primary Status: Expired

Address :
1111 E OCEAN AVE STE 9
LOMPOC CA 93436
SANTA BARBARA COUNTY

Map

FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: OCEAN ORAL AND MAXILLOFACIAL SURGERY, PRACTICE OF MCANINCH DENTAL GROUP INC.

License/Registration Type: Fictitious Name Permit

License Number: 13556 Primary Status: Current - Active

Address :
2425 Bath St
SANTA BARBARA CA 93105-4324
SANTA BARBARA COUNTY

Map

GA to DDS or OMS or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: General Anesthesia Permit

Name: MCANINCH, DAVID LEWIS

License/Registration Type: General Anesthesia Permit

License Number: 1799 Primary Status: Current - Active

Address :
1111 EAST OCEAN AVE, STE. 9
LOMPOC CA 93436
SANTA BARBARA COUNTY

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