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: July 19, 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 a CLIA Waiver certificate valid through September 11, 2026 and lists Brynna Rust, Dental Hygienist, as its authorized official.Information from the official NPPES registry record, last updated November 4, 2015.

NPPES Registry Identity

NPI1285007807
Entity TypeOrganization
Legal Business NameADVANTAGE DENTAL
Location Address2381 NE CONNERS AVEBend, OR 97701-6068
Mailing Address948 Nw 17th StRedmond, OR 97756-1353 · (541) 571-7605
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. How NPI validation works

Primary Specialty

Preferred Provider Organization

Taxonomy 305R00000X · Managed Care Organizations

Licensed in OR · H6967

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,… Show more

2381 NE CONNERS AVE, Bend, OR 97701

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D2178722
Facility Type
Other - DENTAL
Certificate Effective Date
September 12, 2024
Certificate Expiration Date
September 11, 2026
Laboratory Director
DR. GARY W. ALLEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Advantage Dental to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ADVANTAGE DENTAL

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Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Dentist
2381 NE CONNERS AVE
BEND, OR 97701
Dental Hygienist
2381 NE CONNERS AVE
BEND, OR 97701
Dental Hygienist
2381 NE CONNERS AVE
BEND, OR 97701
Dental Hygienist
2381 NE CONNERS AVE
BEND, OR 97701
Denturist
2381 NE CONNERS AVE
BEND, OR 97701
Dentist (General Practice)
2381 NE CONNERS AVE
BEND, OR 97701
Dentist (General Practice)
2381 NE CONNERS AVE
BEND, OR 97701
Dentist (Pediatric Dentistry)
2381 NE CONNERS AVE
BEND, OR 97701
Dentist
2381 NE CONNERS AVE
BEND, OR 97701
Denturist
2381 NE CONNERS AVE
BEND, OR 97701
Dentist (General Practice)
2381 NE CONNERS AVE
BEND, OR 97701
Dental Hygienist
2381 NE CONNERS AVE
BEND, OR 97701
Dentist
2381 NE CONNERS AVE
BEND, OR 97701
Dentist
2381 NE CONNERS AVE
BEND, OR 97701
Dental Hygienist
2381 NE CONNERS AVE
BEND, OR 97701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285007807, enumerated as an "organization" on November 04, 2015.

The provider is located at 2381 NE CONNERS AVE BEND, OR 97701 and the phone number is (888) 468-0022.

Preferred Provider Organization with taxonomy code 305R00000X.