Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILLIP BRUCE LASSEN, D.M.D.
Active Sole ProprietorDR. PHILLIP BRUCE LASSEN, D.M.D. is a General Dentistry healthcare provider located in SHADY COVE, Oregon. NPI 1053424622 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SHADY COVE, OR
Registration Details
- NPI Number
- 1053424622
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2006 (19.980378094528 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D5966 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
21978 HWY 62SHADY COVE, OR, 975391236Browse OR providers · Browse ZIP 97539
- Phone
- 5418782115
- Fax
- 5418782117
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SHADY COVE, OR
| Name | Credential | NPI |
|---|---|---|
| CASEY DEAN CLINGAN | DMD | 1750861431 |
| DR. TAYLOR AUSTIN ELLSON | DMD | 1164038030 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.