| Westside Bend Smiles, Llc | |
|
812 Nw York Dr Ste 100 Bend OR 97703-6746 | |
| (541) 200-7798 | |
| (541) 330-1430 |
| Full Name | Westside Bend Smiles, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 812 Nw York Dr Ste 100, Bend, Oregon |
| Authorized Official Name and Position | Thomas Spoonster (OWNER/DOCTOR) |
| Authorized Official Contact | 5412007798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Bend Smiles, Llc 812 Nw York Dr Ste 100 Bend OR 97703-6746 Ph: (541) 200-7798 | Westside Bend Smiles, Llc 812 Nw York Dr Ste 100 Bend OR 97703-6746 Ph: (541) 200-7798 |
| NPI Number | 1003733684 |
|---|---|
| Provider Enumeration Date | 07/02/2026 |
| Last Update Date | 07/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003733684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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