Chahal, Omar C

Chahal, Omar C is an individual health care provider with primary practice located at 2845 36 Ave South , Grand Forks ND 58201-6747. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Chahal, Omar C can be contacted via phone (701) 775-4444.

Contact Information

Primary practice address
2845 36 Ave South Grand Forks ND 58201-6747
Phone: (701) 775-4444
Fax: (701) 775-4530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 1938 North Dakota

Profile Details

NPI number 1639248719
LBN Legal business name Chahal, Omar C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Dec 14th, 2010 - about 14 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 1639248719 NPPES
North Dakota MEDICAID 41318
North Dakota Other 1938

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