Tyson, Rebecca Paddack

Tyson, Rebecca Paddack is an sole proprietor health care provider with primary practice located at 416 Encino Dr , Livermore CA 94550-5228. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Tyson, Rebecca Paddack can be contacted via phone (925) 321-6642.

Contact Information

Primary practice address
416 Encino Dr Livermore CA 94550-5228
Phone: (925) 321-6642
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 100560 California

Profile Details

NPI number 1932558657
LBN Legal business name Tyson, Rebecca Paddack
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2016
Last updated Jul 27th, 2016 - about 10 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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