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K & L Oms LLC — NPI 1619423787, Bend, OR | NPI Central

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NPI 1619423787

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K & L Oms LLC

NPI 1619423787 · Oral and Maxillofacial Surgery (Dentist) · Bend, OR

Provider details

NPI number: 1619423787
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Parent organization: K & L Oms, LLC
Organization subpart: Yes
Authorized official: John Garrity, Administrator(541) 617-3993
License: D6629 (OR)

Specialties & taxonomies

Oral and Maxillofacial Surgery (Dentist)Primary1223S0112XLicense D6629 (OR)
Dental Providers

Practice location

1475 Ne Williamson Blvd

Bend, OR 97701

Phone: (541) 382-1053

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

1475 Ne Williamson Blvd

Bend, OR 97701

Other names (DBA / former)

Other name: K & L Oms, LLC

Registry dates

Enumerated: 2016-08-29
Last updated: 2023-01-20
Certified: 2023-01-20

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