Central Oregon Perio

Periodontics · Bend, OR

Organization Active NPI

NPI number 1336216373

Practice location

1569 SW Nancy Way Ste 3
Bend, OR 97702
Phone
(541) 317-0255
Fax
(541) 317-0355

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NPI record

NPI
1336216373
Entity type
Organization (Type 2)
Enumeration date
November 28, 2006
Last updated
July 9, 2010
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X D7709 OR

Mailing address

1569 SW Nancy Way
Bend, OR 97702-3234
Phone
(541) 317-0255
Fax
(541) 317-0355

Authorized official

Name
Nicholas W Misischia, DMD
Title
President
Phone
(541) 317-0255

About Central Oregon Perio

Central Oregon Perio is a healthcare organization registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 1569 SW Nancy Way Ste 3, Bend, OR 97702. The NPI number 1336216373 was assigned on November 28, 2006 and the record was last updated on July 9, 2010.

Central Oregon Perio lists a license in the registry: #D7709 (OR) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Nicholas W Misischia, DMD, President.

Frequently asked questions

What is the NPI number of Central Oregon Perio?

The NPI number is 1336216373.

What is the phone number of Central Oregon Perio?

The phone number listed for the practice location is (541) 317-0255.

Where is Central Oregon Perio located?

1569 SW Nancy Way Ste 3, Bend, OR 97702.

What is the taxonomy code for Central Oregon Perio?

The primary taxonomy code is 1223P0300X – Periodontics.

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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