Mirror Pond Dental, Llc

LBN: Mirror Pond Dental, Llc
Mirror Pond Dental, Llc is an health care organization with primary practice located at 102 Nw Newport Ave , Bend OR 97703-1838. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Mirror Pond Dental, Llc can be contacted via phone (541) 382-2256, or through Nordstrom, Marc via phone (541) 382-2256.

Contact Information

Primary practice address
102 Nw Newport Ave Bend OR 97703-1838
Phone: (541) 382-2256
Fax: (541) 389-5229
Website:
Map and Directions
Authorized official contact:
Name: Nordstrom, Marc Doctor of Dental Medicine (DMD)
Phone: (541) 382-2256

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D7335 Oregon

Profile Details

NPI number 1225401052
LBN Legal business name Mirror Pond Dental, Llc
DBA Doing business as
Authorized official Nordstrom, Marc Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2015
Last updated Nov 2nd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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