Healthcare Provider Details

I. General information

NPI: 1689666455
Provider Name (Legal Business Name): LOHRING SHERMAN MILLER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 03/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 COBURG RD SUITE 2
EUGENE OR
97401-5200
US

IV. Provider business mailing address

1310 COBURG RD SUITE 2
EUGENE OR
97401-5200
US

V. Phone/Fax

Practice location:
  • Phone: 514-393-6298
  • Fax:
Mailing address:
  • Phone: 514-393-6298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD5275
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: