Westside Bend Smiles, LLC
Dentist, General Practice in Bend, OR. Organization (NPI-2).
NPI number1003733684
StatusActive
Last updated in NPPESJul 2, 2026
Details
- NPI
- 1003733684
- Entity type
- Organization (NPI-2)
- Legal business name
- Westside Bend Smiles, LLC
- Organization subpart
- No
- Enumeration date
- Jul 2, 2026
- Certification date
- Jul 2, 2026
- Last updated
- Jul 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Dental Artistry Implants Crowns Veneers (Doing Business As)
Practice location
812 Nw York Dr Ste 100Bend, OR 97703-6746
Phone 541-200-7798 · Fax 541-330-1430
Mailing address
812 Nw York Dr Ste 100Bend, OR 97703-6746
Phone 541-200-7798 · Fax 541-330-1430
Authorized official
Thomas Spoonster
Owner/Doctor
5412007798
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