OrganizationActive
Deeply Rooted Dentistry, LLC
NPI 1871205393 · General Practice Dentistry · Bend, OR
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(59/100 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.