OrganizationActive
Deeply Rooted Dentistry, LLC
NPI 1871205393 · General Practice Dentistry · Bend, OR
Deeply Rooted Dentistry, LLC is a General Practice Dentistry organization in Bend, OR (NPI 1871205393).
Provider details
- NPI number
- 1871205393
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Deeply Rooted Dentistry, LLC
- Organization subpart
- Yes
- Authorized official
- Paul Kim, Dentist/Owner(541) 678-5060
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
461 Ne Greenwood Ave
Suite C
Bend, OR 97701
Phone: (541) 678-5060
Fax: (541) 306-4004
Street-level locationGet directions
Mailing address
461 Ne Greenwood Ave
Bend, OR 97701
Other names (DBA / former)
- Other name
- Paul Kim, DDS
Registry dates
- Enumerated
- 2022-12-15
- Last updated
- 2022-12-15
- Certified
- 2022-12-15
Frequently asked questions
- What is Deeply Rooted Dentistry, LLC's NPI number?
- Deeply Rooted Dentistry, LLC's National Provider Identifier (NPI) is 1871205393, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Deeply Rooted Dentistry, LLC?
- Deeply Rooted Dentistry, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Deeply Rooted Dentistry, LLC located?
- Deeply Rooted Dentistry, LLC's practice location on file with NPPES is 461 Ne Greenwood Ave, Bend, OR 97701.
- What is Deeply Rooted Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Deeply Rooted Dentistry, LLC is (541) 678-5060.
- Who is the authorized official for Deeply Rooted Dentistry, LLC?
- The authorized official listed on Deeply Rooted Dentistry, LLC's NPPES record is Paul Kim, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Deeply Rooted Dentistry, LLC's NPI active?
- Yes — Deeply Rooted Dentistry, LLC's NPI (1871205393) is active in the NPPES registry as of the last update on 2022-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.