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SKYLINE DENTAL LLC
NPI 1093440208
Dentist - General Practice in Bend, OR

Active since July 21, 2022
2137 NE 4TH ST, BEND, OR 97701(541) 389-4807(541) 389-4807 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Skyline Dental Llc NPPES

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

SKYLINE DENTAL LLC (NPI 1093440208) is a healthcare organization registered as a general practice in Bend, Oregon and active in the NPI registry since July 2022. The organization lists Corianne Lummis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1093440208
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSKYLINE DENTAL LLC
Location Address2137 NE 4TH STBend, OR 97701-3824
Mailing Address2137 Ne 4th StBend, OR 97701-3824 · (541) 389-4807 · Fax (541) 389-4807
Phone(541) 389-4807
Fax(541) 389-4807
Organization SubpartNo
Authorized OfficialCorianne LummisOffice Manager · (541) 389-4807
Enumeration DateJuly 21, 2022
NPPES CertifiedJuly 21, 2022
✔ NPI 1093440208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2137 NE 4TH ST, Bend, OR 97701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

KAREN COE DDS
Dentist
2137 NE 4TH ST
BEND, OR 97701
Deschutes County (541) 389-4807
DR. MICHAEL WAYNE OLIN D.M.D.
Dentist
2137 NE 4TH ST
BEND, OR 97701
Deschutes County (541) 389-4807
DR. MEHDI SALARI DMD
Dentist (General Practice)
2137 NE 4TH ST
BEND, OR 97701
Deschutes County (541) 389-4807
DR. THOMAS CARLETON BORDIERI DMD
Dentist (General Practice)
2137 NE 4TH ST
BEND, OR 97701
Deschutes County (541) 389-4807
ZACK PORTER D.D.S. PC
Dentist
2137 NE 4TH ST
BEND, OR 97701
Deschutes County (541) 389-4807
DR. ZACK J PORTER D.D.S
Dentist (General Practice)
2137 NE 4TH ST
BEND, OR 97701
Deschutes County (541) 389-4807

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 Skyline Dental LLC's NPI number?

The NPI number for Skyline Dental LLC is 1093440208. It was assigned to this organization in the NPPES registry on July 21, 2022.

Where is Skyline Dental LLC located?

Skyline Dental LLC is located at 2137 NE 4th St, Bend, OR 97701. The listed phone number is (541) 389-4807.

What is Skyline Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Skyline Dental LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.