<Unavail>

LBN: Cascade Kids Dental
<Unavail> is an health care organization with primary practice located at 572 Sw Bluff Dr Ste A, Bend OR 97702-1260. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Cascade Kids Dental can be contacted via phone (541) 318-5688, or through Gibson, Rex Shannon via phone (541) 318-5688.

Contact Information

Primary practice address
572 Sw Bluff Dr Ste A Bend OR 97702-1260
Phone: (541) 318-5688
Fax: (541) 322-5581
Website:
Map and Directions
Authorized official contact:
Name: Gibson, Rex Shannon Doctor of Dental Surgery (DDS)
Phone: (541) 318-5688

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X D7724 Oregon

Profile Details

NPI number 1992706055
LBN Legal business name Cascade Kids Dental
DBA Doing business as <Unavail>
Authorized official Gibson, Rex Shannon Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992706055 NPPES
Oregon MEDICAID 299183

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