Brian Gene Kallus, DMD

Dentist · Bend, OR

Individual Active NPI

NPI number 1679623490

Practice location

2084 NE Professional Ct
Bend, OR 97701-6077
Phone
(541) 383-3005
Fax
(541) 383-1883

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NPI record

NPI
1679623490
Entity type
Individual (Type 1)
Enumeration date
January 12, 2007
Last updated
July 25, 2024
Certified
July 25, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D8457 OR

Mailing address

PO Box 4228
Portland, OR 97208-4228
Phone
(541) 383-3005
Fax
(541) 383-1883

Other practice locations (1)

  • 1250 SW Veterans Way Ste 120, Redmond, OR 97756-2588 · (541) 923-4462

About Dr. Kallus

Brian Gene Kallus, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2084 NE Professional Ct, Bend, OR 97701-6077. The NPI number 1679623490 was assigned on January 12, 2007 and the record was last updated on July 25, 2024.

Dr. Kallus lists a license in the registry: #D8457 (OR) 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 Brian Gene Kallus, DMD?

The NPI number is 1679623490.

What is the phone number of Dr. Kallus?

The phone number listed for the practice location is (541) 383-3005.

Where is Dr. Kallus located?

2084 NE Professional Ct, Bend, OR 97701-6077.

What is the taxonomy code for Dr. Kallus?

The primary taxonomy code is 122300000X – Dentist.

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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