Gary James Soudan, D.D.S.

Dentist · Oroville, CA

Individual Active NPI

NPI number 1912040999

Practice location

2080 Myers Street
2080 Myers Street
Oroville, CA 95966
Phone
(530) 533-3142
Fax
(530) 533-3158

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NPI record

NPI
1912040999
Entity type
Individual (Type 1)
Enumeration date
February 15, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 39566 CA

Mailing address

2080 Myers St
Oroville, CA 95966-5341
Phone
(530) 533-3142
Fax
(530) 533-3158

About Dr. Soudan

Gary James Soudan, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2080 Myers Street, 2080 Myers Street, Oroville, CA 95966. The NPI number 1912040999 was assigned on February 15, 2007 and the record was last updated on July 8, 2007.

Dr. Soudan lists a license in the registry: #39566 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary James Soudan, D.D.S.?

The NPI number is 1912040999.

What is the phone number of Dr. Soudan?

The phone number listed for the practice location is (530) 533-3142.

Where is Dr. Soudan located?

2080 Myers Street, 2080 Myers Street, Oroville, CA 95966.

What is the taxonomy code for Dr. Soudan?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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