Dmytruk, Vyacheslav
Dmytruk, Vyacheslav is an sole proprietor health care provider with primary practice located at 1729 W Harvard Ave Ste 2 , Roseburg OR 97471-2795. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Dmytruk, Vyacheslav can be contacted via phone (458) 802-7028.Contact Information
Primary practice address
1729 W Harvard Ave Ste 2
Roseburg OR 97471-2795
Phone: (458) 802-7028
Fax: (541) 516-4345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D11399 | Oregon |
| Dental Providers / General Practice | 1223G0001X | DEN4408 | Maine |
| Dental Providers / General Practice | 1223G0001X | D11399 | Oregon |
Profile Details
| NPI number | 1356748784 |
|---|---|
| LBN Legal business name | Dmytruk, Vyacheslav |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2014 |
| Last updated | Feb 1st, 2021 - about 5 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.
Popular Providers
-
Norman, Jed Ryan
1813 W Harvard Ste 221 , Roseburg OR 97471 -
Driver, Benjamin J
1651 Nw Hughwood Ct , Roseburg OR 97471-8834 -
Randol, Alanson Marshall
1122 Nw Garden Valley Blvd Suite 103, Roseburg OR 97470-1930 -
Bratland, Michael Jacob
1333 W Harvard Ave , Roseburg OR 97470 -
Hamm, Mark W
1313 W Harvard Ave , Roseburg OR 97470-2838 -
Gaunt, Emily
1100 Nw Garden Valley Blvd , Roseburg OR 97471-1923 -
Wilson, Leonard
1333 W Harvard Ave , Roseburg OR 97471-2838 -
Martin, Quinn
1683 W Harvard Ave , Roseburg OR 97471-2812