Individual
SCOTT ALLAN LOISELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
612 SW 9TH ST, NEWPORT, OR 97365-4728
(541) 265-8501
Mailing address
612 SW 9TH ST, NEWPORT, OR 97365-4728
(541) 265-8501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9392
OR
Other
Enumeration date
09/14/2007
Last updated
08/12/2011
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