NPI 1114056116 · live from the CMS NPI Registry
David M Gobeille, DDS, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Bend, OR. National Provider Identifier 1114056116, active.
NPI record
| NPI | 1114056116 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1725 Sw Chandler Ave, Bend, OR 97702 |
| Practice phone | 541-749-4444 |
| Enumerated | March 5, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D4897 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.