| Central Oregon Perio | |
|
1569 Sw Nancy Way Ste 3 Bend OR 97702 | |
| (541) 317-0255 | |
| (541) 317-0355 |
| Full Name | Central Oregon Perio |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1569 Sw Nancy Way Ste 3, Bend, Oregon |
| Authorized Official Name and Position | Nicholas W Misischia (PRESIDENT) |
| Authorized Official Contact | 5413170255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Oregon Perio 1569 Sw Nancy Way Bend OR 97702-3234 Ph: (541) 317-0255 | Central Oregon Perio 1569 Sw Nancy Way Ste 3 Bend OR 97702 Ph: (541) 317-0255 |
| NPI Number | 1336216373 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 07/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336216373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | D7709 (Oregon) | Primary |
Timm Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Ne Emerson Ave, Bend, OR 97701 Phone: 541-382-1991 Fax: 541-330-9095 | |
Bend Children's Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2190 Ne Professional Ct Ste 200, Bend, OR 97701 Phone: 541-907-1611 | |
Deschutes Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1475 Sw Chandler Ave, Suite 202, Bend, OR 97702 Phone: 541-389-9642 | |
Bend Oral, Facial, And Implant Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 431 Ne Revere Ave Ste 200, Bend, OR 97701 Phone: 541-383-6515 | |
Breathe Deep Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 61583 Se 27th St, Suite Tbd, Bend, OR 97702 Phone: 541-262-6101 | |
K & L Oms Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1475 Sw Chandler Ave Ste 101, Bend, OR 97702 Phone: 541-617-3993 Fax: 541-617-0030 | |
Skyline Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2137 Ne 4th St, Bend, OR 97701 Phone: 541-389-4807 Fax: 541-389-4807 |