Roberts, R. Scott

Roberts, R. Scott is an sole proprietor health care provider with primary practice located at 3500 Cedar St , North Bend OR 97459-1108. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Roberts, R. Scott can be contacted via phone (541) 756-0558.

Contact Information

Primary practice address
3500 Cedar St North Bend OR 97459-1108
Phone: (541) 756-0558
Fax: (541) 756-1974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D7517 Oregon

Profile Details

NPI number 1154319176
LBN Legal business name Roberts, R. Scott
Credentials DDS PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154319176 NPPES
Oregon Other D7517 DENTAL LICENSE #
Oregon MEDICAID 297175 DENTAL LICENSE #

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