person
Jack R Elvin, DENTURIST
Denturist in Albany, Oregon
NPI 1932259397

Jack R Elvin is a Denturist based in Albany, OR. Jack R Elvin practices in Albany, OR and has the professional credentials of DENTURIST. The NPI Number for Jack R Elvin is 1932259397 and holds a License No. DT-DO-609564 (Oregon).

The current practice location address for Jack R Elvin is 1113 Hill St Se, Albany, OR and can be reached out via phone at 541-928-1955.

Location: 1113 Hill St Se, Albany, OR, 97322-4872
person
Provider Profile Details
NPI Number
1932259397
Provider Name
Jack R Elvin
Credential
DENTURIST
Provider Entity Type
Individual
Gender
Male
Address
1113 Hill St Se, Albany, OR, 97322-4872
Phone Number
541-928-1955
Fax Number
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
071696 05 OR
institution
Provider Business Practice Location Address Details
Address
1113 Hill St Se
City
State
Zip
97322-3295
Phone Number
541-928-1955
Fax Number
person
Provider Business Mailing Address Details
Address
1113 Hill St Se
City
State
Zip
97322-3295
Phone Number
541-928-1955
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DT-DO-609564 (Oregon)
Definition
Definition to come.
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