NPI 1992251391 · live from the CMS NPI Registry
Surya Joseph
Dentist, Orthodontics and Dentofacial Orthopedics in Roseburg, OR. National Provider Identifier 1992251391, active.
NPI record
| NPI | 1992251391 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2787 Nw Daysha Dr, Roseburg, OR 97471 |
| Practice phone | 404-939-5152 |
| Enumerated | August 26, 2016 |
| Last updated | November 11, 2024 |
| Sole proprietor | Yes |
| Other names | Surya Joseph |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D11098 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.