NPI 1568711257 · live from the CMS NPI Registry
Alan Liesinger DMD PC
Dentist, Endodontics in Coos Bay, OR. National Provider Identifier 1568711257, active.
NPI record
| NPI | 1568711257 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Endodontics 1223E0200X |
| Practice location | 375 Park Ave., Suite 7, Coos Bay, OR 97420 |
| Practice phone | 541-267-2329 |
| Enumerated | September 10, 2012 |
| Last updated | September 10, 2012 |
| Authorized official | Susan Liesinger, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Endodontics primary | 1223E0200X | 667595 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.