NPI 1013077650

Marc Andrew Nordstrom, DMDPC

Practitioner General Practice Dentistry Bend, OR

Practice location

Address: 108 NW Newport Ave, Bend, OR 97701-1838
Phone: (541) 382-0823
Fax: (541) 385-8665

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D7335 (OR)

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Registry record

NPI: 1013077650
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Dec 2006
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.