Dahle, Eric N

Dahle, Eric N is an individual health care provider with primary practice located at 478 Sw 12Th St , Ontario OR 97914-3202. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Dahle, Eric N can be contacted via phone (541) 881-1794.

Contact Information

Primary practice address
478 Sw 12Th St Ontario OR 97914-3202
Fax: (541) 889-2904
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D6574 Oregon

Profile Details

NPI number 1376536649
LBN Legal business name Dahle, Eric N
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Aug 13th, 2012 - about 12 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 1376536649 NPPES
Oregon MEDICAID 095182
Oregon MEDICAID 001716300
Oregon Other 6689990001

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