East Bend Dental
LBN: Taylor C. Fowles, Dmd, Llc
East Bend Dental is an health care organization with primary practice located at 2250 Ne Professional Ct , Bend OR 97701. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dental Hygienist. Dental Providers / General Practice is the primary health care specialty.
Taylor C. Fowles, Dmd, Llc can be contacted via phone (541) 388-1434, or through Jolliffe, Alecia J via phone (541) 388-1434.
Contact Information
Primary practice address
2250 Ne Professional Ct
Bend OR 97701
Phone: (541) 388-1434
Fax: (541) 388-1293
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Dental Hygienist | 124Q00000X |
Profile Details
| NPI number | 1518233667 |
|---|---|
| LBN Legal business name | Taylor C. Fowles, Dmd, Llc |
| DBA Doing business as | East Bend Dental |
| Authorized official | Jolliffe, Alecia J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 22nd, 2012 |
| Last updated | Jun 25th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518233667 | NPPES |
| Oregon | Other | D10810 | OREGON DENTAL LICENSE |
| Oregon | Other | D9910 | OREGON DENTAL LICENSE |
| Oregon | Other | D9948 | OREGON DENTAL LICENSE |
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