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CENTRAL OREGON PERIO
NPI 1336216373
Dentist - Periodontics in Bend, OR

Active since November 28, 2006
1569 SW NANCY WAY STE 3, BEND, OR 97702(541) 317-0255(541) 317-0355 Get Directions Write a Review

NPPES record last updated: July 9, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Central Oregon Perio NPPES

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

CENTRAL OREGON PERIO (NPI 1336216373) is a healthcare organization registered as a periodontics in Bend, Oregon and active in the NPI registry since November 2006. The organization lists Nicholas W Misischia, President, as its authorized official.

NPPES Registry Identity

NPI1336216373
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCENTRAL OREGON PERIO
Location Address1569 SW NANCY WAY STE 3Bend, OR 97702
Mailing Address1569 Sw Nancy WayBend, OR 97702-3234 · (541) 317-0255 · Fax (541) 317-0355
Phone(541) 317-0255
Fax(541) 317-0355
Organization SubpartNo
Authorized OfficialNicholas W MisischiaPresident · (541) 317-0255
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 9, 2010
✔ NPI 1336216373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in OR · D7709
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1569 SW NANCY WAY STE 3, Bend, OR 97702
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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

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 Central Oregon Perio's NPI number?

The NPI number for Central Oregon Perio is 1336216373. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Central Oregon Perio located?

Central Oregon Perio is located at 1569 SW Nancy Way Ste 3, Bend, OR 97702. The listed phone number is (541) 317-0255.

What is Central Oregon Perio's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Central Oregon Perio was last updated on July 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.