Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PHILLIP R DAHL, L.D
Active Sole ProprietorMR. PHILLIP R DAHL, L.D is a Pediatric Dentistry healthcare provider located in ROSEBURG, Oregon. NPI 1194938894 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · ROSEBURG, OR
Registration Details
- NPI Number
- 1194938894
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2007 (19.279233782403 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DT DO 869528 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1663 W HARVARD AVEROSEBURG, OR, 974702812Browse OR providers · Browse ZIP 97470
- Phone
- 5416720100
- Fax
- 5414408996
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
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.