| Skyline Dental | |
|
2137 Ne 4th St Bend OR 97701-3824 | |
| (541) 389-4807 | |
| Not Available |
| Full Name | Skyline Dental |
|---|---|
| Speciality | Dentist |
| Location | 2137 Ne 4th St, Bend, Oregon |
| Authorized Official Name and Position | Zack Joseph Porter (OWNER) |
| Authorized Official Contact | 5416474611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyline Dental 1855 Nw Iowa Ave Bend OR 97701-1009 Ph: (541) 647-4611 | Skyline Dental 2137 Ne 4th St Bend OR 97701-3824 Ph: (541) 389-4807 |
| NPI Number | 1760863096 |
|---|---|
| Provider Enumeration Date | 06/11/2015 |
| Last Update Date | 06/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760863096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D9091 (Oregon) | Primary |
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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 |