Renfrow, Joandrea Leigh
Renfrow, Joandrea Leigh is an individual health care provider with primary practice located at 295 S 10Th St , Coos Bay OR 97420-4623. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Renfrow, Joandrea Leigh can be contacted via phone (541) 269-5353.Contact Information
Primary practice address
295 S 10Th St
Coos Bay OR 97420-4623
Phone: (541) 269-5353
Fax: (541) 266-0933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D11154 | Oregon |
Profile Details
| NPI number | 1104476704 |
|---|---|
| LBN Legal business name | Renfrow, Joandrea Leigh |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2019 |
| Last updated | Feb 23rd, 2024 - about last year |
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 | 1104476704 | NPPES |
| Oregon | Other | D11154 | OREGON BOARD OF DENTISTRY |
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