Phillip R Dahl is a Prosthodontics in Roseburg, Oregon. Phillip R Dahl practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Phillip R Dahl is 1194938894. The last update date is 2007-07-08.
Phillip R Dahl's current location address is 1663 W Harvard Ave, Roseburg, Oregon. You can contact this provider via phone number 5416720100 and fax number 5414408996. The mailing address for Phillip R Dahl is 1663 W Harvard Ave, Roseburg, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip R Dahl |
|---|---|
| Address | 1663 W Harvard Ave, Roseburg, Oregon |
| Phone Number | 5416720100 |
| Fax Number | 5414408996 |
| Sole Proprietor | Y |
| Credentials | L.D |
NPI Number Detail
| NPI Number | 1194938894 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1663 W Harvard Ave |
|---|---|
| City | Roseburg |
| State | Oregon (OR) |
| Post Code | 974702812 |
| Phone Number | 5416720100 |
| Fax Number | 5414408996 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | DT DO 869528 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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Post Comment/ Review Below
What is the unique identifier code issued to Phillip R Dahl by the Centers for Medicare & Medicaid Services (CMS)?
The Phillip R Dahl has been assigned the NPI (National Provider Identifier) 1194938894. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Phillip R Dahl's facilities are geographically located?
The facilities of Phillip R Dahl are physically situated at the following location: 1663 W Harvard Ave, Roseburg, OR, 974702812.
What is Phillip R Dahl's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Phillip R Dahl's specialized field of practice is Prosthodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194938894 to Phillip R Dahl?
The Centers for Medicare & Medicaid Services originally issued the 1194938894 to Phillip R Dahl on 2007-05-08.
As of what date were the details pertaining to Phillip R Dahl last refreshed?
The information related to the Phillip R Dahl, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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