Greenbaum, Kenneth Robert
Greenbaum, Kenneth Robert is an individual health care provider with primary practice located at 2450 Lancaster Dr Ne Suite 200, Salem OR 97305-1130. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Greenbaum, Kenneth Robert can be contacted via phone (503) 362-9548.Contact Information
Primary practice address
2450 Lancaster Dr Ne Suite 200
Salem OR 97305-1130
Phone: (503) 362-9548
Fax: (503) 362-2189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 4701 | Oregon |
Profile Details
| NPI number | 1902889900 |
|---|---|
| LBN Legal business name | Greenbaum, Kenneth Robert |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Jul 8th, 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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