| Critical Care Dental Clinic | |
|
547 Ne Bellevue Dr Suite 105 Bend OR 97701-9088 | |
| (541) 508-1435 | |
| Not Available |
| Full Name | Critical Care Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 547 Ne Bellevue Dr, Bend, Oregon |
| Authorized Official Name and Position | Scott Joslin (MEMBER) |
| Authorized Official Contact | 5415081435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Critical Care Dental Clinic 547 Ne Bellevue Dr Suite 105 Bend OR 97701-9088 Ph: (541) 508-1435 | Critical Care Dental Clinic 547 Ne Bellevue Dr Suite 105 Bend OR 97701-9088 Ph: (541) 508-1435 |
| NPI Number | 1497087605 |
|---|---|
| Provider Enumeration Date | 02/12/2010 |
| Last Update Date | 02/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497087605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D8875 (Oregon) | Primary |
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