NPI 1386863074 · live from the CMS NPI Registry
Juliana Panchura
Dentist, Orthodontics and Dentofacial Orthopedics in Bend, OR. National Provider Identifier 1386863074, active.
NPI record
| NPI | 1386863074 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 569 Ne Clay Ave, Bend, OR 97701 |
| Practice phone | 541-771-1765 |
| Mailing address | 21651 Dale Rd, Bend, OR 97701 |
| Enumerated | April 24, 2007 |
| Last updated | May 22, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 32603 (CA) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | D6633 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.