- Practice location
- 572 SW Bluff Dr, Ste A, Bend, OR 97702-1260
- Phone
- 541-318-5688
- Fax
- 541-322-5581
- Last updated
- August 22, 2020
Cascade Kids Dental is a healthcare organization based in Bend, OR. Cascade Kids Dental practices in Bend, OR. The NPI Number for Cascade Kids Dental is 1992706055 and holds a License No. D7724 (OR). The current practice location address for Cascade Kids Dental is 572 SW Bluff Dr, Ste A, Bend, OR 97702-1260 and can be reached out via phone at 541-318-5688 and via fax at 541-322-5581.
Provider Profile Details
- NPI Number
- 1992706055
- Provider Name
- Cascade Kids Dental
- Provider Entity Type
- Organization
- Address
- 572 SW Bluff Dr, Ste A, Bend, OR 97702-1260
- Phone Number
- 541-318-5688
- Fax Number
- 541-322-5581
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Organization Subpart
- No
- Authorized Official
- Dr. Rex Shannon Gibson, DDS · Owner · 541-318-5688
- Other Names
- Zooka Super Toothcare For Kids (Doing Business As)
- Provider Enumeration Date
- August 10, 2005
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 572 SW Bluff Dr
Ste A
Bend, OR 97702-1260 - City
- Bend
- State
- Oregon
- Zip
- 97702-1260
- Phone Number
- 541-318-5688
- Fax Number
- 541-322-5581
Provider Business Mailing Address Details
- Address
- 572 SW Bluff Dr
Ste A
Bend, OR 97702-1260 - City
- Bend
- State
- OR
- Zip
- 97702-1260
- Phone Number
- 541-318-5688
- Fax Number
- 541-322-5581
License Information
- License Number
- D7724
- License State
- OR
- Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X · 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 Cascade Kids Dental?
The NPI number of Cascade Kids Dental is 1992706055. It was assigned on August 10, 2005 and is currently active in the NPPES registry.
What is the specialty of Cascade Kids Dental?
Cascade Kids Dental is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in OR under license number D7724.
Where does Cascade Kids Dental practice?
The practice location is 572 SW Bluff Dr, Ste A, Bend, OR 97702-1260. The office can be reached at 541-318-5688 (phone) or 541-322-5581 (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 1992706055 directly on the NPPES registry website.