Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CYNTHIA MARION PETICOLAS, DMD
Active Sole ProprietorDR. CYNTHIA MARION PETICOLAS, DMD is a General Dentistry healthcare provider located in MILL CITY, Oregon. NPI 1134180714 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MILL CITY, OR
Registration Details
- NPI Number
- 1134180714
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2006 (20.385251342143 yrs)
- Last Updated
- May 26, 2015
- License
-
5986 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
548 S 1ST AVEMILL CITY, OR, 97360Browse OR providers · Browse ZIP 97360
- Phone
- 5038972353
- Fax
- 5038972354
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.