Hayden, Cedric Ross

Hayden, Cedric Ross is an sole proprietor health care provider with primary practice located at 498 Harlow Rd, Suite #3, Springfield OR 97477-1336. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hayden, Cedric Ross can be contacted via phone (541) 393-7000.

Contact Information

Primary practice address
498 Harlow Rd, Suite #3 Springfield OR 97477-1336
Fax: (541) 393-7003
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D6958 Oregon

Profile Details

NPI number 1073596987
LBN Legal business name Hayden, Cedric Ross
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2005
Last updated Mar 7th, 2023 - about 2 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 1073596987 NPPES
Oregon MEDICAID 68122

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