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DR. VYACHESLAV DMYTRUK D.M.D
NPI 1356748784
Dentist - General Practice in Roseburg, OR

Active since December 01, 2014
1729 W HARVARD AVE STE 2, ROSEBURG, OR 97471(458) 802-7028(541) 516-4345 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 1, 2021, Aug 27, 2020 (2 updates tracked since 2020).

About Dr. Vyacheslav Dmytruk D.m.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VYACHESLAV DMYTRUK D.M.D (NPI 1356748784) is an individual general practice provider in Roseburg, Oregon, licensed in Oregon (D11399) and active in the NPI registry since December 2014. He maintains a secondary practice location in Waterville.

NPPES Registry Identity

NPI1356748784
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. VYACHESLAV DMYTRUKCredential: D.M.D
Location Address1729 W HARVARD AVE STE 2Roseburg, OR 97471-2795
Mailing Address1729 W Harvard Ave Ste 2Roseburg, OR 97471-2795 · (458) 802-7028 · Fax (541) 516-4345
Phone(458) 802-7028
Fax(541) 516-4345
Sole ProprietorYes
Enumeration DateDecember 1, 2014
Last NPPES UpdateFebruary 1, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2021
✔ NPI 1356748784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in OR · D11399✔ Licensed in ME · DEN4408
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License D11399 (OR)
1729 W HARVARD AVE STE 2, Roseburg, OR 97471
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Secondary Practice Location 1

Location 1185 Main StWaterville, ME 04901-6625 · Phone (207) 872-6815 · Fax (207) 872-6888

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vyacheslav Dmytruk's NPI number?

The NPI number for Vyacheslav Dmytruk is 1356748784. It was assigned to this individual provider in the NPPES registry on December 1, 2014.

Where is Vyacheslav Dmytruk located?

Vyacheslav Dmytruk practices at 1729 W Harvard Ave Ste 2, Roseburg, OR 97471. The listed phone number is (458) 802-7028.

What is Vyacheslav Dmytruk's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Vyacheslav Dmytruk accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Vyacheslav Dmytruk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vyacheslav Dmytruk was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.