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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. VYACHESLAV DMYTRUK, D.M.D

Active Sole Proprietor

DR. VYACHESLAV DMYTRUK, D.M.D is a General Dentistry healthcare provider located in ROSEBURG, Oregon. NPI 1356748784 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · ROSEBURG, OR

Registration Details

NPI Number
1356748784
Provider Type
Individual
Gender
Male
NPI Issued
Dec 1, 2014 (11.677766899232 yrs)
Last Updated
Feb 1, 2021
Licenses
D11399 (OR)
DEN4408 (ME)
D11399 (OR)
Sole Proprietor
Yes

Practice Information

Address
1729 W HARVARD AVE STE 2
ROSEBURG, OR, 974712795
Browse OR providers · Browse ZIP 97471
Phone
4588027028
Fax
5415164345
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry

Other General Dentistry Providers in ROSEBURG, OR

Name Credential NPI
MARK W HAMM DMD 1225035207
ALANSON MARSHALL RANDOL D.D.S. 1477546471
DR. SCOTT RICHARD MCADOO DDS 1376536979
DR. JOHN LEE SHARP DDS 1841283470
DR. MICHAEL JACOB BRATLAND DMD 1235128745
DR. JED RYAN NORMAN DDS 1184663718
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.