NPI 1194165878 · live from the CMS NPI Registry
Eric Noland Alston, DMD
Dentist, General Practice in Bend, OR. National Provider Identifier 1194165878, active.
NPI record
| NPI | 1194165878 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 62968 O B Riley Rd Ste 12, Bend, OR 97703 |
| Practice phone | 855-433-6825 |
| Mailing address | 6950 Ne Campus Way, Hillsboro, OR 97124 |
| Enumerated | June 26, 2013 |
| Last updated | February 11, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | D9888 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.