Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MYRON T PENG, DMD
Active Sole ProprietorMYRON T PENG, DMD is a General Dentistry healthcare provider located in GRAND RONDE, Oregon. NPI 1417144387 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · GRAND RONDE, OR
Registration Details
- NPI Number
- 1417144387
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2007 (18.741397261867 yrs)
- Last Updated
- Sep 25, 2007
- License
-
D8970 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9605 GRAND RONDE RDGRAND RONDE, OR, 973479712Browse OR providers · Browse ZIP 97347
- Phone
- 5038792236
- Fax
- 5038795089
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in GRAND RONDE, OR
| Name | Credential | NPI |
|---|---|---|
| DR. E. ERIC WEBSTER | DDS | 1154464295 |
| DR. RACHEL SHERFEY BOTELHO | DDS | 1528101565 |
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.