Comerford, Charles
Comerford, Charles is an individual health care provider with primary practice located at 2225 Pacific Blvd Se Ste 201 , Albany OR 97321-7904. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Comerford, Charles can be contacted via phone (541) 928-4300.Contact Information
Primary practice address
2225 Pacific Blvd Se Ste 201
Albany OR 97321-7904
Phone: (541) 928-4300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D7159 | Oregon |
Profile Details
| NPI number | 1982745550 |
|---|---|
| LBN Legal business name | Comerford, Charles |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jun 17th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982745550 | NPPES |
| Oregon | MEDICAID | 295405 |
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