Mr. Phillip R Dahl
Prosthodontist
1663 W Harvard Ave
Roseburg
, Oregon 97470-2812
Mr. Phillip R Dahl
Prosthodontist
1663 W Harvard Ave
Roseburg
, Oregon 97470-2812
(541) 496-3794
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Mr. Phillip R Dahl
- 14987 N Bank Rd
- Roseburg, OR
- Zip : 97470-7937
- Phone : (541) 496-3794
Second Address
- Mr. Phillip R Dahl
- 1663 W Harvard Ave
- Roseburg, OR
- Zip : 97470-2812
- Fax : (541) 440-8996
- Phone : (541) 672-0100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | DT DO 869528 | OR |
National Provider Identifier
| NPI | 1194938894 |
|---|---|
| Provider Name | Mr. Phillip R Dahl |
| First Address | Roseburg, OR 97470-7937 |
| Second Address | Roseburg, OR 97470-2812 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.