MIRROR POND DENTAL, 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. MIRROR POND DENTAL, LLC NPI is 1225401052. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
102 NW NEWPORT AVE BEND, OR ZIP 97703-838 Phone: (541) 382-2256 Fax: (541) 389-5229
The provider's authorized official is Marc Nordstrom . The authorized official title is Owner and has the following contact phone number (541) 382-2256.
The enumeration date for this NPI number is 11/2/2015 and was last updated on 11/2/2015.
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:
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: 11/21/2025
NPI Synchronization or Removal
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