Oumnov, Sergey

Oumnov, Sergey is an sole proprietor health care provider with primary practice located at 114 Birch St Suite C, Redwood City CA 94062-1398. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Oumnov, Sergey can be contacted via phone (650) 365-5546.

Contact Information

Primary practice address
114 Birch St Suite C Redwood City CA 94062-1398
Fax: (650) 364-7776
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 42390 California

Profile Details

NPI number 1992917389
LBN Legal business name Oumnov, Sergey
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2007
Last updated Jul 8th, 2007 - about 17 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 1992917389 NPPES
California Other 42390 LICENSE
California Other B42390 01 LICENSE

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