Stillwater Dental, LLC

NPI #1912477522 in Bend, Oregon

Provider Information

NPI Number: 1912477522
Entity Type: Organization
Organization Name: Stillwater Dental, LLC
Primary Specialty: Dentist
Enumeration Date: Nov 27, 2018
Last Updated: Aug 14, 2019

Practice Location

Address: 199 SW SHEVLIN HIXON DR STE A
City: Bend
State: Oregon
ZIP Code: 97702-3201
Phone: (547) 330-5952

Authorized Official

Name: MARK JENSEN, DMD
Title: OWNER/DENTIST
Phone: (541) 330-5952

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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