Provider Demographics
NPI:1043410095
Name:LIANN W DRECHSEL DMD PC
Entity Type:Organization
Organization Name:LIANN W DRECHSEL DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LIANN
Authorized Official - Middle Name:WHY
Authorized Official - Last Name:DRECHSEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:541-672-5535
Mailing Address - Street 1:2270 NW TROOST ST
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97471-6006
Mailing Address - Country:US
Mailing Address - Phone:541-672-5535
Mailing Address - Fax:541-672-7651
Practice Address - Street 1:2270 NW TROOST ST
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97471-6006
Practice Address - Country:US
Practice Address - Phone:541-672-5535
Practice Address - Fax:541-672-7651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR87591223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty