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Contact Information

ALAN LIESINGER DMD PC
375 PARK AVE., SUITE 7
COOS BAY, OR97420-2242
 Phone: 541-267-2329
 Fax: 541-267-4026
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ALAN LIESINGER DMD PC · (Female)

NPI Number 1568711257
Status Active
Credentials
Entity Individual
Enumeration date 09/10/2012
Last updated 09/10/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # 667595
  • Other 168369 WELFARE PROVIDER #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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