Bend Oral, Facial, And Implant Surgery in Bend - Oral And Maxillofacial Surgery
Bend Oral, Facial, And Implant Surgery - NPI 1023272119
Bend Oral, Facial, And Implant Surgery is a Oral And Maxillofacial Surgery in Bend, Oregon. Bend Oral, Facial, And Implant Surgery practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Bend Oral, Facial, And Implant Surgery is 1023272119. The last update date is 2008-07-17.
Bend Oral, Facial, And Implant Surgery's current location address is 431 Ne Revere Ave Ste 200, Bend, Oregon. You can contact this provider via phone number 5413836515. The mailing address for Bend Oral, Facial, And Implant Surgery is 431 Ne Revere Ave Ste 200, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bend Oral, Facial, And Implant Surgery |
|---|---|
| Address | 431 Ne Revere Ave Ste 200, Bend, Oregon |
| Phone Number | 5413836515 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Delisi Charles Donald |
| Credentials | DMD |
| Telephone Number | 5413836515 |
NPI Number Detail
| NPI Number | 1023272119 |
|---|---|
| Provider Enumeration Date | 2008-07-17 |
| Last Updated Date | 2008-07-17 |
Provider Mailing Address Detail
| Address | 431 Ne Revere Ave Ste 200 |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977014192 |
| Phone Number | 5413836515 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the Bend Oral, Facial, And Implant Surgery's 1023272119?
The Bend Oral, Facial, And Implant Surgery's NPI (National Provider Identifier) Number is 1023272119. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bend Oral, Facial, And Implant Surgery is geographically located?
The Bend Oral, Facial, And Implant Surgery is physically situated at the following location: 431 Ne Revere Ave Ste 200, Bend, OR, 977014192.
What is Bend Oral, Facial, And Implant Surgery's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bend Oral, Facial, And Implant Surgery's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Bend Oral, Facial, And Implant Surgery receive its 1023272119 assignment from the Centers for Medicare & Medicaid Services?
The Bend Oral, Facial, And Implant Surgery was assigned its 1023272119 by the Centers for Medicare & Medicaid Services on 2008-07-17.
When was the information pertaining to Bend Oral, Facial, And Implant Surgery most recently updated or revised?
The details related to Bend Oral, Facial, And Implant Surgery, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-17.
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