Organization · Type 2 NPI

Central Oregon Perio

Periodontics · Bend, OR

NPI number 1336216373 Active

Practice location

1569 SW Nancy Way Ste 3
Bend, OR 97702

Fax (541) 317-0355

Mailing address

1569 SW Nancy Way
Bend, OR 97702-3234

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XD7709 (OR)

Periodontics: 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 structures and tissues.

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About NPI 1336216373

Central Oregon Perio's National Provider Identifier is 1336216373, issued on Nov 28, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Bend, OR. The record was last updated on Jul 9, 2010.