Amayev, Oleg
Amayev, Oleg is an individual health care provider with primary practice located at 10847 Bustleton Ave , Philadelphia PA 19116-3301. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Amayev, Oleg can be contacted via phone (215) 552-9800.Contact Information
Primary practice address
10847 Bustleton Ave
Philadelphia PA 19116-3301
Phone: (215) 552-9800
Fax: (215) 552-9876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS036113 | Pennsylvania |
Profile Details
| NPI number | 1417946252 |
|---|---|
| LBN Legal business name | Amayev, Oleg |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417946252 | NPPES |
| Pennsylvania | MEDICAID | 1010462950001 |
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