Phillip R. Dahl, L.D

Prosthodontics · Roseburg, OR

Individual Active NPI

NPI number 1194938894

Practice location

1663 W Harvard Ave
Roseburg, OR 97470-2812
Phone
(541) 672-0100
Fax
(541) 440-8996

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NPI record

NPI
1194938894
Entity type
Individual (Type 1)
Enumeration date
May 8, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Prosthodontics Primary 1223P0700X DT DO 869528 OR

Mailing address

14987 N Bank Rd
Roseburg, OR 97470-7937
Phone
(541) 496-3794

About Phillip Dahl

Phillip R. Dahl, L.D is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthodontics (code 1223P0700X). The practice location is 1663 W Harvard Ave, Roseburg, OR 97470-2812. The NPI number 1194938894 was assigned on May 8, 2007 and the record was last updated on July 8, 2007.

Phillip Dahl lists a license in the registry: #DT DO 869528 (OR) for Prosthodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Phillip R. Dahl, L.D?

The NPI number is 1194938894.

What is the phone number of Phillip Dahl?

The phone number listed for the practice location is (541) 672-0100.

Where is Phillip Dahl located?

1663 W Harvard Ave, Roseburg, OR 97470-2812.

What is the taxonomy code for Phillip Dahl?

The primary taxonomy code is 1223P0700X – Prosthodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.