MR. ANTHONY RAY BELISLE L.D. NPI 1740413012

NPI Information

NPI: 1740413012
Provider Name: MR. ANTHONY RAY BELISLE, L.D.
Classification: Denturist - 122400000X
Entity Type: Individual
Address:
965 S 1ST ST
COOS BAY, OR
ZIP 97420
Phone: (541) 267-7278
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MR. Anthony Ray Belisle, L.D. is a denturist in Coos Bay, OR. The provider is 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. MR. Anthony Ray Belisle, L.D. NPI is 1740413012. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

965 S 1ST ST
COOS BAY, OR
ZIP 97420-401
Phone: (541) 267-7278
Fax: (541) 269-4613

The enumeration date for this NPI number is 9/2/2009 and was last updated on 9/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	126900000X	Dental Laboratory Technician				No
2	122400000X	Denturist		DT-DO-1003340	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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