Individual provider · Type 1 NPI
Phillip Bruce Lassen, DMD
General Practice Dentistry · Shady Cove, OR
NPI number
1053424622
Active
Practice location
21978 Hwy 62
Shady Cove, OR 97539-1236
Fax (541) 878-2117
Mailing address
PO Box 1236
Shady Cove, OR 97539-1236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D5966 (OR) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Other general practice dentistry providers in Shady Cove
About NPI 1053424622
Phillip Bruce Lassen, DMD's National Provider Identifier is 1053424622, issued on Aug 16, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Shady Cove, OR. The record was last updated on Jul 8, 2007.