Individual provider · Type 1 NPI
Anthony Ray Belisle Jr., L.D.
Denturist · Coos Bay, OR
NPI number
1740413012
Active
Practice location
965 S 1st St
Coos Bay, OR 97420-1401
Fax (541) 269-4613
Mailing address
PO Box 3520
Coos Bay, OR 97420-0418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Denturist Primary | 122400000X | DT-DO-1003340 (OR) |
| Dental Laboratory Technician | 126900000X | None listed |
Denturist: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
Other denturist providers in Coos Bay
About NPI 1740413012
Anthony Ray Belisle Jr., L.D.'s National Provider Identifier is 1740413012, issued on Sep 2, 2009. The primary taxonomy on file is Denturist (122400000X), and the practice location is in Coos Bay, OR. The record was last updated on Sep 2, 2009.