Cantrell, Carolyn M.

Cantrell, Carolyn M. is an sole proprietor health care provider with primary practice located at 2233 Willamette St Suite B, Eugene OR 97405-2890. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Cantrell, Carolyn M. can be contacted via phone (541) 687-2156.

Contact Information

Primary practice address
2233 Willamette St Suite B Eugene OR 97405-2890
Fax: (541) 684-9268
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D6877 Oregon

Profile Details

NPI number 1508855230
LBN Legal business name Cantrell, Carolyn M.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2005
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508855230 NPPES
Oregon MEDICAID 119524

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