OrganizationActive
Facial and Oral Surgery Center LLC
NPI 1801483318 · Oral and Maxillofacial Surgery (Dentist) · Bend, OR
Provider details
- NPI number
- 1801483318
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Amir Azarisamani, President(904) 993-3599
Specialties & taxonomies
Dental Providers
Practice location
1893 Ne Neff Rd
Bend, OR 97701-6112
Phone: (541) 382-7981
Approximate (ZIP-level) locationGet directions
Mailing address
1893 Ne Neff Rd
Bend, OR 97701-6112
Registry dates
- Enumerated
- 2020-12-30
- Last updated
- 2020-12-30
- Certified
- 2020-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.