Anthony Ray Belisle Jr., L.D.
Denturist in Coos Bay, OR. Individual provider (NPI-1).
NPI number1740413012
StatusActive
Last updated in NPPESSep 2, 2009
Details
- NPI
- 1740413012
- Entity type
- Individual (NPI-1)
- Name
- Mr. Anthony Ray Belisle Jr.
- Credential
- L.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 2, 2009
- Last updated
- Sep 2, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122400000X | Denturist | DT-DO-1003340 | OR | Yes |
| 126900000X | Dental Laboratory Technician | – | – |
Practice location
965 S 1st StCoos Bay, OR 97420-1401
Phone 541-267-7278 · Fax 541-269-4613
Mailing address
Po Box 3520Coos Bay, OR 97420-0418
Phone 541-267-7278 · Fax 541-269-4613
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Denturist providers in Coos Bay, OR
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.