Dahle, Eric N
Dahle, Eric N is an individual health care provider with primary practice located at 478 Sw 12Th St , Ontario OR 97914-3202. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Dahle, Eric N can be contacted via phone (541) 881-1794.Contact Information
Primary practice address
478 Sw 12Th St
Ontario OR 97914-3202
Phone: (541) 881-1794
Fax: (541) 889-2904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D6574 | Oregon |
Profile Details
| NPI number | 1376536649 |
|---|---|
| LBN Legal business name | Dahle, Eric N |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Aug 13th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376536649 | NPPES |
| Oregon | MEDICAID | 095182 | |
| Oregon | MEDICAID | 001716300 | |
| Oregon | Other | 6689990001 |
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