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WATERFALL CLINIC INCORPORATED
NPI 1700522489
Dentist - General Practice in North Bend, OR

Active since May 06, 2022
1885 WAITE STREET, NORTH BEND, OR 97459(541) 756-6232 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Waterfall Clinic Incorporated NPPES

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

WATERFALL CLINIC INCORPORATED (NPI 1700522489), doing business as Waterfall Dental Services, is a healthcare organization registered as a general practice in North Bend, Oregon and active in the NPI registry since May 2022. The organization lists Andrea Trenner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700522489
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWATERFALL CLINIC INCORPORATED
Location Address1885 WAITE STREETNorth Bend, OR 97459
Mailing Address1890 Waite Street Suite 1North Bend, OR 97459 · (541) 756-6232
Phone(541) 756-6232
Organization SubpartNo
Authorized OfficialAndrea TrennerCeo · (541) 756-6232
Enumeration DateMay 6, 2022
NPPES CertifiedMay 6, 2022
✔ NPI 1700522489 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.

1885 WAITE STREET, North Bend, OR 97459
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Other Names 1

Doing Business AsWaterfall Dental Services

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 Waterfall Clinic Incorporated's NPI number?

The NPI number for Waterfall Clinic Incorporated is 1700522489. It was assigned to this organization in the NPPES registry on May 6, 2022. The provider is doing business as Waterfall Dental Services.

Where is Waterfall Clinic Incorporated located?

Waterfall Clinic Incorporated is located at 1885 Waite Street, North Bend, OR 97459. The listed phone number is (541) 756-6232.

What is Waterfall Clinic Incorporated'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 Waterfall Clinic Incorporated was last updated on May 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.