NPI 1023272119

Bend Oral, Facial, and Implant Surgery

Organisation Oral and Maxillofacial Surgery (Dentist) Bend, OR

Practice location

Address: 431 NE Revere Ave STE 200, Bend, OR 97701-4192
Phone: (541) 383-6515

Authorised official

Name: Donald Charles Delisi
Title: President
Phone: (541) 383-6515

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X

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Registry record

NPI: 1023272119
Entity type: Organization
NPI issued: 17 Jul 2008
Record last updated: 17 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.