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Contact Information

ALBERT A CACCIVIO JR, DENTURIST
905 RIVER RD
EUGENE, OR97404-3228
 Phone: 541-461-2020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Denturist

122400000X
Indicates primary specialty

NPI Profile & details for ALBERT A CACCIVIO JR · (Male)

NPI # 1033462155
Status Active
Credentials DENTURIST
Entity Individual
Enumeration date 10/26/2012
Last updated 10/26/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • OR License # DT-DO-461580
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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