Central Oregon Perio in Bend - Periodontics
Central Oregon Perio - NPI 1336216373
Central Oregon Perio is a Periodontics in Bend, Oregon. Central Oregon Perio practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Central Oregon Perio is 1336216373. The last update date is 2010-07-09.
Central Oregon Perio's current location address is 1569 Sw Nancy Way, Bend, Oregon. You can contact this provider via phone number 5413170255 and fax number 5413170355. The mailing address for Central Oregon Perio is 1569 Sw Nancy Way, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Oregon Perio |
|---|---|
| Address | 1569 Sw Nancy Way, Bend, Oregon |
| Phone Number | 5413170255 |
| Fax Number | 5413170355 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Misischia W Nicholas |
| Credentials | DMD |
| Telephone Number | 5413170255 |
NPI Number Detail
| NPI Number | 1336216373 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2010-07-09 |
Provider Mailing Address Detail
| Address | 1569 Sw Nancy Way |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977023234 |
| Phone Number | 5413170255 |
| Fax Number | 5413170355 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | D7709 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Central Oregon Perio by the Centers for Medicare & Medicaid Services?
The Central Oregon Perio has been assigned the NPI (National Provider Identifier) 1336216373 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Central Oregon Perio?
The Central Oregon Perio is physically situated at 1569 Sw Nancy Way, in the city of Bend, state of OR, with the postal code 977023234.
What is Central Oregon Perio's specialized field of practice, and what is the corresponding taxonomy classification code?
The Central Oregon Perio's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
On what date was the 1336216373 assigned to Central Oregon Perio?
The Central Oregon Perio was issued its 1336216373 on 2006-11-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Central Oregon Perio, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Central Oregon Perio, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-07-09.