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TAYLOR C. FOWLES DMD LLC NPI 1518233667


NPI Information

NPI: 1518233667
Provider Name: TAYLOR C. FOWLES, DMD, LLC

Doing Business As: EAST BEND DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2250 NE PROFESSIONAL CT
BEND, OR
ZIP 97701
Phone: (541) 388-1434
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TAYLOR C. FOWLES, DMD, LLC is a general practice dentist in Bend, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. TAYLOR C. FOWLES, DMD, LLC NPI is 1518233667. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As East Bend Dental.

The provider's business location address is:

2250 NE PROFESSIONAL CT
BEND, OR
ZIP 97701
Phone: (541) 388-1434
Fax: (541) 388-1293

The provider's authorized official is Alecia J Jolliffe .
The authorized official title is Practice Manager and has the following contact phone number (541) 388-1434.

The enumeration date for this NPI number is 3/22/2012 and was last updated on 6/25/2018.


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
1124Q00000XDental HygienistNo
21223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D9948OTHEROREGONOREGON DENTAL LICENSE
2D10810OTHEROREGONOREGON DENTAL LICENSE
3D9910OTHEROREGONOREGON DENTAL LICENSE

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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