Nicola, Dennis Crandall
Nicola, Dennis Crandall is an sole proprietor health care provider with primary practice located at 2730 Sw Moody Ave , Portland OR 97201-5042. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Nicola, Dennis Crandall can be contacted via phone (503) 346-4725.Contact Information
Primary practice address
2730 Sw Moody Ave
Portland OR 97201-5042
Phone: (503) 346-4725
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D5433 | Oregon |
Profile Details
| NPI number | 1619974607 |
|---|---|
| LBN Legal business name | Nicola, Dennis Crandall |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Jul 25th, 2014 - about 11 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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