- Practice location
- 1569 SW Nancy Way Ste 3, Bend, OR 97702
- Phone
- 541-317-0255
- Fax
- 541-317-0355
- Last updated
- July 9, 2010
Central Oregon Perio is a healthcare organization based in Bend, OR. Central Oregon Perio practices in Bend, OR. The NPI Number for Central Oregon Perio is 1336216373 and holds a License No. D7709 (OR). The current practice location address for Central Oregon Perio is 1569 SW Nancy Way Ste 3, Bend, OR 97702 and can be reached out via phone at 541-317-0255 and via fax at 541-317-0355.
Provider Profile Details
- NPI Number
- 1336216373
- Provider Name
- Central Oregon Perio
- Provider Entity Type
- Organization
- Address
- 1569 SW Nancy Way Ste 3, Bend, OR 97702
- Phone Number
- 541-317-0255
- Fax Number
- 541-317-0355
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Organization Subpart
- No
- Authorized Official
- Nicholas W Misischia, DMD · President · 541-317-0255
- Provider Enumeration Date
- November 28, 2006
- Last Update Date
- July 9, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1569 SW Nancy Way Ste 3
Bend, OR 97702 - City
- Bend
- State
- Oregon
- Zip
- 97702
- Phone Number
- 541-317-0255
- Fax Number
- 541-317-0355
Provider Business Mailing Address Details
- Address
- 1569 SW Nancy Way
Bend, OR 97702-3234 - City
- Bend
- State
- OR
- Zip
- 97702-3234
- Phone Number
- 541-317-0255
- Fax Number
- 541-317-0355
License Information
- License Number
- D7709
- License State
- OR
- Taxonomy
- Dentist, Periodontics · 1223P0300X · 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 Central Oregon Perio?
The NPI number of Central Oregon Perio is 1336216373. It was assigned on November 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Central Oregon Perio?
Central Oregon Perio is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in OR under license number D7709.
Where does Central Oregon Perio practice?
The practice location is 1569 SW Nancy Way Ste 3, Bend, OR 97702. The office can be reached at 541-317-0255 (phone) or 541-317-0355 (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 1336216373 directly on the NPPES registry website.