| Frideres Dental Llc | |
|
410 E Cascade Ave Sisters OR 97759-1158 | |
| (406) 431-5058 | |
| Not Available |
| Full Name | Frideres Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 410 E Cascade Ave, Sisters, Oregon |
| Authorized Official Name and Position | Trevor Mathias Bauer Frideres (DENTIST) |
| Authorized Official Contact | 4064315058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frideres Dental Llc 60748 River Bend Dr Bend OR 97702-7909 Ph: (406) 431-5058 | Frideres Dental Llc 410 E Cascade Ave Sisters OR 97759-1158 Ph: (406) 431-5058 |
| NPI Number | 1689182933 |
|---|---|
| Provider Enumeration Date | 01/19/2018 |
| Last Update Date | 01/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689182933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D10577 (Oregon) | Primary |
Frideres Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 491 E Main Ave, Sisters, OR 97759 Phone: 541-549-2011 Fax: 541-549-4787 | |
K. Zachary Sunitsch Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 W Adams Ave, Sisters, OR 97759 Phone: 541-549-0109 |