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Central Oregon Perio — NPI 1336216373, Bend, OR | NPI Central

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NPI 1336216373

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Central Oregon Perio

NPI 1336216373 · Periodontics · Bend, OR

Provider details

NPI number: 1336216373
Entity type: Organization
Primary specialty: PeriodonticsDental Providers
Organization subpart: No
Authorized official: Nicholas Misischia, President(541) 317-0255
License: D7709 (OR)

Specialties & taxonomies

PeriodonticsPrimary1223P0300XLicense D7709 (OR)
Dental Providers

Practice location

1569 Sw Nancy Way Ste 3

Bend, OR 97702

Phone: (541) 317-0255

Fax: (541) 317-0355

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

1569 Sw Nancy Way

Bend, OR 97702-3234

Registry dates

Enumerated: 2006-11-28
Last updated: 2010-07-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.