| Dr. Andrew W. Engel Dmd | |
|
930 Sw Yates Dr Bend OR 97702-3204 | |
| (541) 550-5311 | |
| Not Available |
| Full Name | Dr. Andrew W. Engel Dmd |
|---|---|
| Speciality | Dentist |
| Location | 930 Sw Yates Dr, Bend, Oregon |
| Authorized Official Name and Position | Andrew Wade Engel (OWNER) |
| Authorized Official Contact | 5415505311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Andrew W. Engel Dmd 930 Sw Yates Dr Bend OR 97702-3204 Ph: (541) 550-5311 | Dr. Andrew W. Engel Dmd 930 Sw Yates Dr Bend OR 97702-3204 Ph: (541) 550-5311 |
| NPI Number | 1700144870 |
|---|---|
| Provider Enumeration Date | 04/26/2012 |
| Last Update Date | 11/12/2013 |
| Medicare PECOS PAC ID | 2062813298 |
|---|---|
| Medicare Enrollment ID | O20210625001367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700144870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Andrew W. Engel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1417943010 PECOS PAC ID: 3971904103 Enrollment ID: I20210625001492 |
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