Taylor C. Fowles, Dmd, LLC

NPI #1518233667 in Bend, Oregon

Provider Information

NPI Number: 1518233667
Entity Type: Organization
Organization Name: Taylor C. Fowles, Dmd, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 22, 2012
Last Updated: Jun 25, 2018

Practice Location

Address: 2250 NE PROFESSIONAL CT
City: Bend
State: Oregon
ZIP Code: 97701
Phone: (541) 388-1434

Authorized Official

Name: MRS. ALECIA J JOLLIFFE
Title: PRACTICE MANAGER
Phone: (541) 388-1434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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