| Cascade Endodontic Group Llc | |
|
1590 Ne Williamson Blvd Bend OR 97701-6071 | |
| (541) 388-1500 | |
| (541) 388-6995 |
| Full Name | Cascade Endodontic Group Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1590 Ne Williamson Blvd, Bend, Oregon |
| Authorized Official Name and Position | Elizabeth Edmunds (PRACTICE MANAGER) |
| Authorized Official Contact | 5413881500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Endodontic Group Llc 1590 Ne Williamson Blvd Bend OR 97701-6071 Ph: (541) 388-1500 | Cascade Endodontic Group Llc 1590 Ne Williamson Blvd Bend OR 97701-6071 Ph: (541) 388-1500 |
| NPI Number | 1265698351 |
|---|---|
| Provider Enumeration Date | 07/29/2008 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265698351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | D8211 (Oregon) | Primary |
| 1223E0200X | Dentist - Endodontics | D8490 (Oregon) | Secondary |
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