NPI 1093947665 · live from the CMS NPI Registry
Rex Homer Ervin, D.D.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Klamath Falls, OR. National Provider Identifier 1093947665, active.
NPI record
| NPI | 1093947665 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2650 Washburn Way, Unit 210, Klamath Falls, OR 97603 |
| Practice phone | 541-882-4461 |
| Mailing address | 2650 Washburn Way Unit 210, Klamath Falls, OR 97603 |
| Enumerated | August 17, 2009 |
| Last updated | August 17, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 4516 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.