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Contact Information

ADVANTAGE DENTAL ASSOCIATES OF CROOK COUNTY, LLC
257 NE 2ND ST
PRINEVILLE, OR97754-1910
 Phone: 541-447-5838
 Fax: 541-447-5883
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANTAGE DENTAL ASSOCIATES OF CROOK COUNTY LLC · (Female)

NPI Number 1649573585
Status Active
Credentials
Entity Individual
Enumeration date 12/15/2010
Last updated 12/15/2010 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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