Provider Demographics
NPI:1215188719
Name:PRESSPRICH DENTISTRY
Entity Type:Organization
Organization Name:PRESSPRICH DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:O
Authorized Official - Last Name:PRESSPRICH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:541-401-9863
Mailing Address - Street 1:1470 SW KNOLL AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-3154
Mailing Address - Country:US
Mailing Address - Phone:541-383-0093
Mailing Address - Fax:
Practice Address - Street 1:1470 SW KNOLL AVE STE 101
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-3154
Practice Address - Country:US
Practice Address - Phone:541-383-0093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-02
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD6298261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental