NPI 1235559253

Albert Giddings

Practitioner Denturist Brookings, OR

Practice location

Address: 800 Chetco Ave., Brookings, OR 97415-0053
Phone: (541) 971-1828
Mailing address: PO Box 1858, Brookings, OR 97415-0053

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DT-DO-087719 (OR)

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Registry record

NPI: 1235559253
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2014
Record last updated: 17 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.