- Practice location
- 124 NW Hawthorne Ave, Bend, OR 97703-2918
- Phone
- 303-521-2916
- Fax
- 541-389-2958
- Last updated
- September 14, 2026
Peter Brent Amundson is a Dentist, General Practice based in Bend, OR. Peter Brent Amundson practices in Bend, OR and has the professional credentials of DMD. The NPI Number for Peter Brent Amundson is 1073690889 and holds a License No. D12101 (OR). The current practice location address for Peter Brent Amundson is 124 NW Hawthorne Ave, Bend, OR 97703-2918 and can be reached out via phone at 303-521-2916 and via fax at 541-389-2958.
Provider Profile Details
- NPI Number
- 1073690889
- Provider Name
- Peter Brent Amundson
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 124 NW Hawthorne Ave, Bend, OR 97703-2918
- Phone Number
- 303-521-2916
- Fax Number
- 541-389-2958
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 1, 2006
- Last Update Date
- September 14, 2026
- Certification Date
- September 14, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 124 NW Hawthorne Ave
Bend, OR 97703-2918 - City
- Bend
- State
- Oregon
- Zip
- 97703-2918
- Phone Number
- 303-521-2916
- Fax Number
- 541-389-2958
Provider Business Mailing Address Details
- Address
- 124 NW Hawthorne Ave
Bend, OR 97703-2918 - City
- Bend
- State
- OR
- Zip
- 97703-2918
- Phone Number
- 303-521-2916
- Fax Number
- 541-389-2958
License Information
- License Number
- D12101
- License State
- OR
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Peter B Amundson, DMD?
The NPI number of Dr. Peter B Amundson, DMD is 1073690889. It was assigned on November 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Peter B Amundson, DMD?
Dr. Peter B Amundson, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in OR under license number D12101.
Where does Dr. Peter B Amundson, DMD practice?
The practice location is 124 NW Hawthorne Ave, Bend, OR 97703-2918. The office can be reached at 303-521-2916 (phone) or 541-389-2958 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073690889 directly on the NPPES registry website.