DR. PHILLIP BRUCE LASSEN D.M.D.
NPI 1053424622
Dentist - General Practice in Shady Cove, OR

Active since August 16, 2006
21978 HWY 62, SHADY COVE, OR 97539(541) 878-2115(541) 878-2117 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Phillip Bruce Lassen D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILLIP BRUCE LASSEN D.M.D. (NPI 1053424622) is an individual general practice provider in Shady Cove, Oregon, licensed in Oregon (D5966) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1053424622
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PHILLIP BRUCE LASSENCredential: D.M.D.
Location Address21978 HWY 62Shady Cove, OR 97539-1236
Mailing AddressPo Box 1236Shady Cove, OR 97539-1236 · (541) 878-2115 · Fax (541) 878-2117
Fax(541) 878-2117
Sole ProprietorYes
Enumeration DateAugust 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1053424622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · D5966
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

21978 HWY 62, Shady Cove, OR 97539

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Lassen's NPI number?

The NPI number for Phillip Lassen is 1053424622. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Phillip Lassen located?

Phillip Lassen practices at 21978 Hwy 62, Shady Cove, OR 97539. The listed phone number is (541) 878-2115.

What is Phillip Lassen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Phillip Lassen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.