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TODD A SCHOCK PC DMD MD NPI 1285744573


NPI Information

NPI: 1285744573
Provider Name: TODD A SCHOCK PC DMD MD

Other Name: FACIAL AND ORAL SURGICAL CENTER

Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1893 NE NEFF RD
BEND, OR
ZIP 97701
Phone: (541) 382-1791
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TODD A SCHOCK PC DMD MD 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. TODD A SCHOCK PC DMD MD NPI is 1285744573. The provider is registered as an organization entity type.
The provider Other Name Is Facial And Oral Surgical Center.

The provider's business location address is:

1893 NE NEFF RD
BEND, OR
ZIP 97701-112
Phone: (541) 382-1791
Fax: (541) 389-6953

The provider's authorized official is Elizabeth Ann Skaug .
The authorized official title is Office Manager and has the following contact phone number (541) 382-7981.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 10/16/2007.


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
1261QS0112XClinic/CenterOral and Maxillofacial Surgery288477OREGONYes

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
1136849MEDICARE PINOREGON

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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