NPI 1255117800

Rosalie Goode, DTRDH

Practitioner Dental Therapist Bend, OR

Practice location

Address: 2565 NE Butler Market Rd, Bend, OR 97701-1587
Phone: (541) 317-1887
Mailing address: 63314 Lamoine Ln, Bend, OR 97701-8291

Registered specialties

Dental Therapist Primary

Dental Providers Taxonomy 125J00000X Licence DT0001 (OR)

Other Dental Therapist providers in Oregon →

Registry record

NPI: 1255117800
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2023
Record last updated: 7 Sep 2023

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.