Muth, Edward Alan
Muth, Edward Alan is an individual health care provider with primary practice located at 315 Oxford St Se , Salem OR 97302-5249. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Muth, Edward Alan can be contacted via phone (503) 362-3723.Contact Information
Primary practice address
315 Oxford St Se
Salem OR 97302-5249
Phone: (503) 362-3723
Fax: (503) 364-7515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4756 | Oregon |
Profile Details
| NPI number | 1467459438 |
|---|---|
| LBN Legal business name | Muth, Edward Alan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1467459438 | NPPES |
| Oregon | MEDICAID | 125724 |
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