Provider Demographics
NPI:1851459168
Name:FINLAY, DAVID TAIT (DMD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:TAIT
Last Name:FINLAY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 SE OAK AVE
Mailing Address - Street 2:SUITE 321
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97470-4985
Mailing Address - Country:US
Mailing Address - Phone:541-672-8702
Mailing Address - Fax:541-672-8702
Practice Address - Street 1:1012 SE OAK AVE
Practice Address - Street 2:SUITE 321
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97470-4985
Practice Address - Country:US
Practice Address - Phone:541-672-8702
Practice Address - Fax:541-672-8702
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD54161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice