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K & L OMS LLC NPI 1063942043


NPI Information

NPI: 1063942043
Provider Name: K & L OMS LLC
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1475 SW CHANDLER AVE STE 101
BEND, OR
ZIP 97702
Phone: (541) 617-3993
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K & L OMS LLC is an oral and maxillofacial surgery clinic center in Bend, OR. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. K & L OMS LLC NPI is 1063942043. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1475 SW CHANDLER AVE STE 101
BEND, OR
ZIP 97702-239
Phone: (541) 617-3993
Fax: (541) 617-0030

The provider's authorized official is Keith E Krueger .
The authorized official title is Owner and has the following contact phone number (541) 617-3993.

The enumeration date for this NPI number is 6/13/2017 and was last updated on 1/10/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryD6629OREGONNo
2261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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