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DEEPLY ROOTED DENTISTRY, LLC
NPI 1871205393
Dentist - General Practice in Bend, OR

Active since December 15, 2022
461 NE GREENWOOD AVE, SUITE C, BEND, OR 97701(541) 678-5060(541) 306-4004 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Deeply Rooted Dentistry, Llc NPPES

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

DEEPLY ROOTED DENTISTRY, LLC (NPI 1871205393) is a healthcare organization registered as a general practice in Bend, Oregon and active in the NPI registry since December 2022. The organization lists Paul H Kim, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1871205393
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDEEPLY ROOTED DENTISTRY, LLC
Location Address461 NE GREENWOOD AVE, SUITE CBend, OR 97701
Mailing Address461 Ne Greenwood Ave, Suite CBend, OR 97701 · (541) 678-5060 · Fax (541) 306-4004
Phone(541) 678-5060
Fax(541) 306-4004
Organization SubpartYes
Authorized OfficialPaul H KimDentist/owner · (541) 678-5060
Enumeration DateDecember 15, 2022
NPPES CertifiedDecember 15, 2022
✔ NPI 1871205393 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.

461 NE GREENWOOD AVE, Bend, OR 97701
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Other Names 1

Other NamePaul Kim, Dds

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 12

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

JEANIE BETH BAKKER M.A., L.P.C.
Counselor (Professional)
461 NE GREENWOOD AVE, SUITE A
BEND, OR 97701
Deschutes County (541) 617-7365
NICOLE HUJAR
Counselor (Addiction (Substance Use Disorder))
461 NE GREENWOOD AVE
BEND, OR 97701
Deschutes County (541) 617-7365
DAVE AUTREY
Counselor (Addiction (Substance Use Disorder))
461 NE GREENWOOD AVE
BEND, OR 97701
Deschutes County (541) 617-7365
TERRY JOLLY
Counselor (Addiction (Substance Use Disorder))
461 NE GREENWOOD AVE
BEND, OR 97701
Deschutes County (541) 617-7365
MR. ROBERT B KRAVITZ CACD-I
Counselor
461 NE GREENWOOD AVE, STE A
BEND, OR 97701
Deschutes County (541) 617-7365
KELLI HUNTINGTON CADC-I
Counselor (Addiction (Substance Use Disorder))
461 NE GREENWOOD AVE, STE A
BEND, OR 97701
Deschutes County (541) 617-7365
CHAD E STEPHENSON DDS PC
Dentist (General Practice)
461 NE GREENWOOD AVE, SUITE C
BEND, OR 97701
Deschutes County (541) 318-1564
CHARLES ROBERT MALLEY CADC I
Counselor (Addiction (Substance Use Disorder))
461 NE GREENWOOD AVE
BEND, OR 97701
Deschutes County (541) 516-4087

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 Deeply Rooted Dentistry, LLC's NPI number?

The NPI number for Deeply Rooted Dentistry, LLC is 1871205393. It was assigned to this organization in the NPPES registry on December 15, 2022.

Where is Deeply Rooted Dentistry, LLC located?

Deeply Rooted Dentistry, LLC is located at 461 NE Greenwood Ave Suite C, Bend, OR 97701. The listed phone number is (541) 678-5060.

What is Deeply Rooted Dentistry, 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 Deeply Rooted Dentistry, LLC was last updated on December 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.