Unknown Individual – Dentist, NPI 1053486696
Dentist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1310 INGERSOLL ST
COOS BAY, OR 974201233
Phone: (541) 267-2525
Type: Mailing
1245, Fulton Avenue, Coos Bay, Coos County, Oregon, 97420, United States
COOS BAY, OR 974202895
Phone: (541) 888-6433
Fax: (541) 888-7505
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97420)
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