Bend Children'S Dentistry, LLC
Dentist, Pediatric Dentistry in Bend, OR. Organization (NPI-2).
NPI number1013674548
StatusActive
Last updated in NPPESNov 18, 2021
Details
- NPI
- 1013674548
- Entity type
- Organization (NPI-2)
- Legal business name
- Bend Children'S Dentistry, LLC
- Organization subpart
- No
- Enumeration date
- Nov 18, 2021
- Certification date
- Nov 18, 2021
- Last updated
- Nov 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Practice location
2190 Ne Professional Ct Ste 200Bend, OR 97701-6985
Phone 541-907-1611
Mailing address
2190 Ne Professional Ct Ste 200Bend, OR 97701-6985
Authorized official
Bradley Blake Field
Owner
9492282123
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Other Pediatric Dentistry providers in Bend, OR
- Matthew Anderson, DDSNPI 1871911438
- Cascade Kids DentalNPI 1992706055
- Steven Christensen, D.M.D.NPI 1861497885
- Bradley Blake Field, D.D.S.NPI 1154645471
- Rex Shannon Gibson, D.D.SNPI 1174730287
- Hans Peter Gray, D.D.S.NPI 1811336753
- Graham L Hearn, D.D.S.NPI 1164789061
- Jean A. Lewis Dmd, PCNPI 1306071667
- Casey Elizabeth Jones, DMDNPI 1629767371
- R Dean Nyquist, D.M.D.NPI 1902899883
All 14 Pediatric Dentistry providers in Bend · All 6,654 providers in Bend
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