Organization Name: | LIANN W DRECHSEL DMD PC |
NPI Number: | 1043410095 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LIANN WHY DRECHSEL (DMD) |
Mailing Address: | 1741 W Harvard Ave Roseburg |
State: | OR US |
Postal Code: | 974712716 |
Phone Number: | 5416725535 |
Fax Number: | 5416727651 |
NPI Enumeration Date: | 07/18/2007 |
NPI Last Update Date: | 06/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 8759 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |