Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Phillip R Dahl, LD

Individual provider Prosthodontics · NPI 1194938894

Mr. Phillip R Dahl, LD is a Prosthodontics in Roseburg, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
What do these letters mean?
LD — Licensed Dietitian
A dietitian licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

1663 W Harvard Ave
Roseburg, OR 97470-2812
Phone: (541) 672-0100
Fax: (541) 440-8996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence DT DO 869528 (OR)

Record details

NPI number1194938894
Entity typeIndividual (Type 1)
GenderMale
Credentials LD
Sole proprietorYes
NPI enumeratedMay 8, 2007
Last updated in NPPESJuly 8, 2007