Michael J. Longlet, DDS

Dentist · Bend, OR

Individual Active NPI

NPI number 1245654789

Practice location

775 SW Bonnett Way Ste 100
Bend, OR 97702
Phone
(541) 388-0078
Fax
(541) 388-1377

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NPI record

NPI
1245654789
Entity type
Individual (Type 1)
Enumeration date
February 4, 2014
Last updated
June 27, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D10402 OR
Dentist 122300000X D13380 MN

Mailing address

775 SW Bonnett Way Ste 100
Bend, OR 97702-2080
Phone
(541) 388-0078
Fax
(541) 388-1377

About Dr. Longlet

Michael J. Longlet, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 775 SW Bonnett Way Ste 100, Bend, OR 97702. The NPI number 1245654789 was assigned on February 4, 2014 and the record was last updated on June 27, 2018.

Dr. Longlet lists 2 licenses in the registry: #D10402 (OR) for Dentist; #D13380 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael J. Longlet, DDS?

The NPI number is 1245654789.

What is the phone number of Dr. Longlet?

The phone number listed for the practice location is (541) 388-0078.

Where is Dr. Longlet located?

775 SW Bonnett Way Ste 100, Bend, OR 97702.

What is the taxonomy code for Dr. Longlet?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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