NPI 1013043660

Charles K Dark, DMD

Practitioner Dentist Bend, OR

Practice location

Address: 62968 Obriley Rd #12, Bend, OR 97701
Phone: (541) 330-6445
Mailing address: 6950 NE Campus Way, Hillsboro, OR 97124-5611

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D5036 (OR)

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Registry record

NPI: 1013043660
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Feb 2007
Record last updated: 8 Jul 2007

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.