DR. Kelley Ray Mingus, D.M.D

NPI #1447259262 in Bend, Oregon

Provider Information

NPI Number: 1447259262
Entity Type: Individual
Name: DR. Kelley Ray Mingus, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D
Enumeration Date: Jul 14, 2005
Last Updated: Jan 13, 2025

Practice Location

Address: 225 SCALEHOUSE LOOP STE 101
City: Bend
State: Oregon
ZIP Code: 97702-1241
Phone: (541) 382-6565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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