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Contact Information

JED R NORMAN, DDS
1813 W HARVARD STE 221
ROSEBURG, OR97471
 Phone: 541-672-6511
 Fax: 541-673-1892
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JED R NORMAN · (Male)

NPI # 1184663718
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/06/2006
Last updated 06/04/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • ID License # D3831
  • OR License # D8859
  • ID Medicaid 806926400
  • OR Medicaid 278647
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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