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ADVANTAGE DENTAL
NPI 1285007807
Preferred Provider Organization in Bend, OR

Active since November 04, 2015CLIA Certified · 2 labs
2381 NE CONNERS AVE, BEND, OR 97701(888) 468-0022 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advantage Dental NPPES

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

ADVANTAGE DENTAL (NPI 1285007807) is a healthcare organization registered as a preferred provider organization in Bend, Oregon and active in the NPI registry since November 2015. The organization holds 2 active CLIA laboratory certificates and lists Brynna Rust, Dental Hygienist, as its authorized official.

NPPES Registry Identity

NPI1285007807
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameADVANTAGE DENTAL
Location Address2381 NE CONNERS AVEBend, OR 97701-6068
Mailing Address948 Nw 17th StRedmond, OR 97756-1353 · (541) 571-7605
Phone(888) 468-0022
Organization SubpartNo
Authorized OfficialBrynna RustDental Hygienist · (541) 571-7605
Enumeration DateNovember 4, 2015
✔ NPI 1285007807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in OR · H6967
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
2381 NE CONNERS AVE, Bend, OR 97701
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2178722

Advantage Dental + Bend · Bend, OR
Active · expires Sep 11, 2026
CLIA Number38D2178722
Laboratory TypeDental
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorDr. Gary W. Allen
Laboratory Phone(541) 678-6262
Laboratory LocationAdvantage Dental + Bend2381 NE Conners Ave, Bend, OR 97701
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2294928

Advantage Dental + Redmond · Redmond, OR
Active · expires Nov 30, 2027
CLIA Number38D2294928
Laboratory TypeDental
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorGary W. Allen
Laboratory Phone(541) 546-0503
Laboratory LocationAdvantage Dental + Redmond3853 SW 21st St, Suite 103-105, Redmond, OR 97756
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

DR. TYLER FRIESEN
Dentist
2381 NE CONNERS AVE
BEND, OR 97701
Deschutes County (541) 837-1662
TERESA J WAITE LD
Denturist
2381 NE CONNERS AVE
BEND, OR 97701
Deschutes County (541) 678-6262
BRYNNA BIGSBY
Dental Hygienist
2381 NE CONNERS AVE
BEND, OR 97701
Deschutes County (888) 868-0022
DANIEL MANOLOV LD
Denturist
2381 NE CONNERS AVE
BEND, OR 97701
Deschutes County (541) 678-6262
KRISTA CIARRA SCHULTE DMD
Dentist
2381 NE CONNERS AVE
BEND, OR 97701
Deschutes County (541) 678-6262
TIFFANY MEILANI FOY
Dental Hygienist
2381 NE CONNERS AVE
BEND, OR 97701
Deschutes County (188) 846-8002
TAYLOR BYBEE DDS
Dentist
2381 NE CONNERS AVE
BEND, OR 97701
Deschutes County (888) 468-0022
DR. MICHAEL CLAYTON REYNOLDS DMD
Dentist (General Practice)
2381 NE CONNERS AVE
BEND, OR 97701
Deschutes County (541) 678-6262

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 Advantage Dental's NPI number?

The NPI number for Advantage Dental is 1285007807. It was assigned to this organization in the NPPES registry on November 4, 2015.

Where is Advantage Dental located?

Advantage Dental is located at 2381 NE Conners Ave, Bend, OR 97701. The listed phone number is (888) 468-0022.

What is Advantage Dental's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Does Advantage Dental hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Advantage Dental was last updated on November 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.