Roger Alan Dahlseid
Dentist - General Practice
228 Cibeque Circle Cibeque Circle
San Carlos
, Arizona 85550-0208
Roger Alan Dahlseid
Dentist - General Practice
228 Cibeque Circle Cibeque Circle
San Carlos
, Arizona 85550-0208
(928) 475-7380
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Roger Alan Dahlseid
- Po Box 208 Cibeque Circle
- San Carlos, AZ
- Zip : 85550-0208
- Fax : (928) 475-7380
- Phone : (928) 475-7354
Second Address
- Roger Alan Dahlseid
- 228 Cibeque Circle Cibeque Circle
- San Carlos, AZ
- Zip : 85550-0208
- Fax : (928) 475-7380
- Phone : (928) 475-7354
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Is Roger Alan Dahlseid a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 2180 | MT |
| Y | 213EG0000X | General Practice | 2180 | MT |
National Provider Identifier
| NPI | 1003025107 |
|---|---|
| Provider Name | Roger Alan Dahlseid |
| First Address | San Carlos, AZ 85550-0208 |
| Second Address | San Carlos, AZ 85550-0208 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2007 |
| Last Update Date | 06/11/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| FD0147391 | DEA (01) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.