Phillip Bruce Lassen in Shady Cove - General Practice
Phillip Bruce Lassen - NPI 1053424622
Phillip Bruce Lassen is a General Practice in Shady Cove, Oregon. Phillip Bruce Lassen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Phillip Bruce Lassen is 1053424622. The last update date is 2007-07-08.
Phillip Bruce Lassen's current location address is Po Box 1236, Shady Cove, Oregon. You can contact this provider via phone number 5418782115 and fax number 5418782117. The mailing address for Phillip Bruce Lassen is Po Box 1236, Shady Cove, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Bruce Lassen |
|---|---|
| Address | Po Box 1236, Shady Cove, Oregon |
| Phone Number | 5418782115 |
| Fax Number | 5418782117 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1053424622 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1236 |
|---|---|
| City | Shady Cove |
| State | Oregon (OR) |
| Post Code | 975391236 |
| Phone Number | 5418782115 |
| Fax Number | 5418782117 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D5966 |
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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. |
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What is the Phillip Bruce Lassen's 1053424622?
The Phillip Bruce Lassen's NPI (National Provider Identifier) Number is 1053424622. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Phillip Bruce Lassen located?
The Phillip Bruce Lassen is located at Po Box 1236, Shady Cove, OR 975391236.
What is Phillip Bruce Lassen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Phillip Bruce Lassen is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did Phillip Bruce Lassen receive its 1053424622 assignment from the Centers for Medicare & Medicaid Services?
The Phillip Bruce Lassen was assigned its 1053424622 on 2006-08-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Phillip Bruce Lassen last refreshed?
The information related to the Phillip Bruce Lassen, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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