Individual
DR. PAUL A. CONCIDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17 N 6TH ST, NYSSA, OR 97913-3477
(541) 372-2606
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9598
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D4383
ID
122300000X
Dentist
Primary
D9867
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500662118
—
OR
Enumeration date
07/03/2008
Last updated
01/13/2026
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