<Unavail>

LBN: Stillwater Dental, Llc
<Unavail> is an health care organization with primary practice located at 199 Sw Shevlin Hixon Dr Ste A , Bend OR 97702-3201. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Stillwater Dental, Llc can be contacted via phone (547) 330-5952, or through Jensen, Mark via phone (541) 330-5952.

Contact Information

Primary practice address
199 Sw Shevlin Hixon Dr Ste A Bend OR 97702-3201
Phone: (547) 330-5952
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Mark Doctor of Dental Medicine (DMD)
Phone: (541) 330-5952

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1912477522
LBN Legal business name Stillwater Dental, Llc
DBA Doing business as <Unavail>
Authorized official Jensen, Mark Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2018
Last updated Aug 14th, 2019 - about 7 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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