Oliver, Andre

Oliver, Andre is an individual health care provider with primary practice located at 126 Auburn Ave Ste 100 , Auburn WA 98002-5082. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Oliver, Andre can be contacted via phone (253) 804-8713.

Contact Information

Primary practice address
126 Auburn Ave Ste 100 Auburn WA 98002-5082
Phone: (253) 804-8713
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00010014 Washington
Dental Providers / Dentist 122300000X DE00010014 Washington

Profile Details

NPI number 1174532923
LBN Legal business name Oliver, Andre
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jul 8th, 2022 - about 3 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 1174532923 NPPES
Washington MEDICAID 5046974

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