Mr Phillip R Dahl, LD - Dentist in Roseburg, OR

Mr Phillip R Dahl, LD is a Dentist - Prosthodontics based in Roseburg, Oregon. Mr Phillip R Dahl is licensed to practice in Oregon (license number DT DO 869528) and his current practice location is 1663 W Harvard Ave, Roseburg, Oregon. He can be reached at his office (for appointments etc.) via phone at (541) 672-0100.

NPI number for Mr Phillip R Dahl is 1194938894 and his current mailing address is 14987 N Bank Rd, Roseburg, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194938894.

Contact Information

Mr Phillip R Dahl, LD
1663 W Harvard Ave,
Roseburg, OR 97470-2812
(541) 672-0100
(541) 440-8996

Map and Direction




Healthcare Provider's Profile

Full NameMr Phillip R Dahl
GenderMale
SpecialityDentist - Prosthodontics
Location1663 W Harvard Ave, Roseburg, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194938894
  • Provider Enumeration Date: 05/08/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Phillip R Dahl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194938894NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0700XDentist - Prosthodontics DT DO 869528 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Phillip R Dahl is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Phillip R Dahl, LD
14987 N Bank Rd,
Roseburg, OR 97470-7937

Ph: (541) 496-3794
Mr Phillip R Dahl, LD
1663 W Harvard Ave,
Roseburg, OR 97470-2812

Ph: (541) 672-0100

Reviews and Comments


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