R Dean Nyquist is a Pediatric Dentistry in Bend, Oregon. R Dean Nyquist practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for R Dean Nyquist is 1902899883. The last update date is 2007-07-08.
R Dean Nyquist's current location address is 1230 Ne 3rd St, Bend, Oregon. You can contact this provider via phone number 5413896600 and fax number 5413892965. The mailing address for R Dean Nyquist is 1230 Ne 3rd St, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | R Dean Nyquist |
|---|---|
| Address | 1230 Ne 3rd St, Bend, Oregon |
| Phone Number | 5413896600 |
| Fax Number | 5413892965 |
| Sole Proprietor | X |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1902899883 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1230 Ne 3rd St |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977014367 |
| Phone Number | 5413896600 |
| Fax Number | 5413892965 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 4651 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13683-8 | OR | OREGON HEALTH PLAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to R Dean Nyquist by the Centers for Medicare & Medicaid Services?
The R Dean Nyquist has been assigned the NPI (National Provider Identifier) 1902899883 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where R Dean Nyquist is physically located?
The R Dean Nyquist is situated at the following address: 1230 Ne 3Rd St, Bend, OR 977014367.
What is the R Dean Nyquist's area of specialization and corresponding taxonomy classification?
The R Dean Nyquist's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the R Dean Nyquist receive its 1902899883 assignment from the Centers for Medicare & Medicaid Services?
The R Dean Nyquist was assigned its 1902899883 by the Centers for Medicare & Medicaid Services on 2005-08-25.
As of what date was the information regarding R Dean Nyquist, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to R Dean Nyquist, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY