NPI 1609704345 · live from the CMS NPI Registry
Paventy & Brown Orthodontics Ii LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Dallas, OR. National Provider Identifier 1609704345, active.
NPI record
| NPI | 1609704345 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 410 E Ellendale Ave Ste 2, Dallas, OR 97338 |
| Practice phone | 971-468-0220 |
| Enumerated | May 12, 2026 |
| Last updated | May 12, 2026 |
| Authorized official | Cassandra Wieth, Director Of Payer Relations |
| Other names | Paventy & Brown Orthodontics- Dallas |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.