Select Care Dental | |
499 Sw Upper Terrace Dr. #b Bend OR 97702 | |
(541) 323-3930 | |
(541) 323-3929 |
Full Name | Select Care Dental |
---|---|
Speciality | Dentist |
Location | 499 Sw Upper Terrace Dr. #b, Bend, Oregon |
Authorized Official Name and Position | Jared R. Anderson (OWNER) |
Authorized Official Contact | 5413233930 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Select Care Dental 499 Sw Upper Terrace Dr. #b Bend OR 97702 Ph: (541) 323-3930 | Select Care Dental 499 Sw Upper Terrace Dr. #b Bend OR 97702 Ph: (541) 323-3930 |
NPI Number | 1760992382 |
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Provider Enumeration Date | 10/10/2017 |
Last Update Date | 10/10/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760992382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D8086 (Oregon) | Primary |
122300000X | Dentist | D10730 (Oregon) | Secondary |
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