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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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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