Dr. Vyacheslav Dmytruk, D.M.D
Dentist, General Practice in Roseburg, OR. Individual provider (NPI-1).
NPI number1356748784
StatusActive
Last updated in NPPESFeb 1, 2021
Details
- NPI
- 1356748784
- Entity type
- Individual (NPI-1)
- Name
- Dr. Vyacheslav Dmytruk
- Credential
- D.M.D
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 1, 2014
- Certification date
- Feb 1, 2021
- Last updated
- Feb 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D11399 | OR | Yes |
| 122300000X | Dentist | D11399 | OR | |
| 1223G0001X | Dentist, General Practice | DEN4408 | ME |
Practice location
1729 W Harvard Ave Ste 2Roseburg, OR 97471-2795
Phone 458-802-7028 · Fax 541-516-4345
Mailing address
1729 W Harvard Ave Ste 2Roseburg, OR 97471-2795
Phone 458-802-7028 · Fax 541-516-4345
Other practice locations
185 Main St
Waterville, ME 04901-6625
Waterville, ME 04901-6625
Phone 207-872-6815 · Fax 207-872-6888
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other General Practice Dentistry providers in Roseburg, OR
- Brannick Don Adams, D.D.S.NPI 1376577700
- Alanson M. Randol DDS, P.C.NPI 1548139553
- Lawrence Lithe ArefiegNPI 1558049403
- Patrick L. Battin, DDS, MA, RNNPI 1265149553
- Brannick D Adams DDS PCNPI 1437475704
- Michael Jacob Bratland, DMDNPI 1235128745
- Samuel CosteNPI 1851008791
- Maggie Cote, DMDNPI 1609605633
- Ctr Dental NorthwestNPI 1467253161
- Driver & Driver PC, Dba Driver DentistryNPI 1881203784
All 48 General Practice Dentistry providers in Roseburg · All 2,380 providers in Roseburg
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.