Nyquist, R Dean

Nyquist, R Dean is an individual health care provider with primary practice located at 1230 Ne 3Rd St Suite A-174, Bend OR 97701-4367. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Nyquist, R Dean can be contacted via phone (541) 389-6600.

Contact Information

Primary practice address
1230 Ne 3Rd St Suite A-174 Bend OR 97701-4367
Phone: (541) 389-6600
Fax: (541) 389-2965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 4651 Oregon
Dental Providers / Pediatric Dentistry 1223P0221X 24157 California

Profile Details

NPI number 1902899883
LBN Legal business name Nyquist, R Dean
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902899883 NPPES
Oregon Other 13683-8 OREGON HEALTH PLAN

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