NPI 1912571738 · live from the CMS NPI Registry
Andrew Aman
Dentist in Roseburg, OR. National Provider Identifier 1912571738, active.
NPI record
| NPI | 1912571738 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 2530 Nw Medical Park Dr, Roseburg, OR 97471 |
| Practice phone | 541-673-6511 |
| Mailing address | 8264 Royal Gorge Dr, San Diego, CA 92119 |
| Enumerated | May 17, 2021 |
| Last updated | May 10, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | D11652 (OR) |
| Dentist primary | 122300000X | xxxxxxx (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.