Kylie Wasserman, D.D.S.

Dentist · Bend, OR

Individual Active NPI

NPI number 1417484296

Practice location

3081 N Highway 97 Ste 150
Bend, OR 97703-7569
Phone
(541) 797-9136
Fax
(458) 202-2218

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NPI record

NPI
1417484296
Entity type
Individual (Type 1)
Enumeration date
May 11, 2017
Last updated
December 5, 2022
Certified
December 5, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D10789 OR
General Practice Dentistry 1223G0001X D10789 OR

Mailing address

3081 N Hwy 97 Ste 150
Bend, OR 97703-7569
Phone
(541) 797-9136
Fax
(458) 202-2218

Other practice locations (1)

  • 16461 William Foss Rd, LA Pine, OR 97739-9486 · (541) 907-7020

About Dr. Wasserman

Kylie Wasserman, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3081 N Highway 97 Ste 150, Bend, OR 97703-7569. The NPI number 1417484296 was assigned on May 11, 2017 and the record was last updated on December 5, 2022.

Dr. Wasserman lists 2 licenses in the registry: #D10789 (OR) for Dentist; #D10789 (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kylie Wasserman, D.D.S.?

The NPI number is 1417484296.

What is the phone number of Dr. Wasserman?

The phone number listed for the practice location is (541) 797-9136.

Where is Dr. Wasserman located?

3081 N Highway 97 Ste 150, Bend, OR 97703-7569.

What is the taxonomy code for Dr. Wasserman?

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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