| Skyline Dental Llc | |
|
2137 Ne 4th St Bend OR 97701-3824 | |
| (541) 389-4807 | |
| (541) 389-4807 |
| Full Name | Skyline Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2137 Ne 4th St, Bend, Oregon |
| Authorized Official Name and Position | Corianne Lummis (OFFICE MANAGER) |
| Authorized Official Contact | 5413894807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyline Dental Llc 2137 Ne 4th St Bend OR 97701-3824 Ph: (541) 389-4807 | Skyline Dental Llc 2137 Ne 4th St Bend OR 97701-3824 Ph: (541) 389-4807 |
| NPI Number | 1093440208 |
|---|---|
| Provider Enumeration Date | 07/21/2022 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093440208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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