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Contact Information

CHARLES S HURST, DDS
628 FLEET STREET
BROOKINGS, OR97415
 Phone: 541-412-8858
 Fax: 541-412-9231
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for CHARLES S HURST · (Male)

NPI Number 1265507578
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OR License # D8382
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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