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K & L OMS LLC
NPI 1063942043
Clinic/Center - Oral and Maxillofacial Surgery in Bend, OR

Active since June 13, 2017
1475 SW CHANDLER AVE STE 101, BEND, OR 97702(541) 617-3993(541) 617-0030 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2023, Jul 21, 2022, Jun 13, 2017 (3 updates tracked since 2017).

About K & L Oms Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

K & L OMS LLC (NPI 1063942043) is a healthcare organization registered as an oral and maxillofacial surgery in Bend, Oregon and active in the NPI registry since June 2017. The organization lists Keith E Krueger, Owner, as its authorized official.

NPPES Registry Identity

NPI1063942043
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameK & L OMS LLC
Location Address1475 SW CHANDLER AVE STE 101Bend, OR 97702-3239
Mailing Address1475 Sw Chandler Ave Ste 101Bend, OR 97702-3239 · (541) 617-3993 · Fax (541) 617-0030
Phone(541) 617-3993
Fax(541) 617-0030
Organization SubpartNo
Authorized OfficialKeith E KruegerOwner · (541) 617-3993
Enumeration DateJune 13, 2017
Last NPPES UpdateJanuary 10, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
✔ NPI 1063942043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License D6629 (OR)
1475 SW CHANDLER AVE STE 101, Bend, OR 97702
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAKE ALLEN PETERSON DDS, MD
Dentist (Oral and Maxillofacial Surgery)
1475 SW CHANDLER AVE STE 101
BEND, OR 97702
Deschutes County (541) 617-3993

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is K & L Oms LLC's NPI number?

The NPI number for K & L Oms LLC is 1063942043. It was assigned to this organization in the NPPES registry on June 13, 2017.

Where is K & L Oms LLC located?

K & L Oms LLC is located at 1475 SW Chandler Ave Ste 101, Bend, OR 97702. The listed phone number is (541) 617-3993.

What is K & L Oms LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for K & L Oms LLC was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.