Dr. Philip Charlet Gissel, DDS
Dentist, General Practice in Eugene, OR. Individual provider (NPI-1).
NPI number1619087798
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619087798
- Entity type
- Individual (NPI-1)
- Name
- Dr. Philip Charlet Gissel
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | OR6646 | OR | Yes |
Practice location
366 E 40th AveSte 210
Eugene, OR 97405-3494
Phone 541-484-6974 · Fax 541-484-6398
Mailing address
31450 Wildwood Creek RdEugene, OR 97405-9010
Phone 541-684-9751 · Fax 541-484-6398
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