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ZOOKA SUPER TOOTHCARE FOR KIDS
NPI 1992706055
Dentist - Pediatric Dentistry in Bend, OR

Active since August 10, 2005
572 SW BLUFF DR, STE A, BEND, OR 97702(541) 318-5688(541) 322-5581 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Zooka Super Toothcare For Kids NPPES

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

ZOOKA SUPER TOOTHCARE FOR KIDS (NPI 1992706055) is a healthcare organization registered as a pediatric dentistry in Bend, Oregon and active in the NPI registry since August 2005. The organization lists Rex Shannon Gibson, Owner, as its authorized official.

NPPES Registry Identity

NPI1992706055
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCASCADE KIDS DENTAL
Location Address572 SW BLUFF DR, STE ABend, OR 97702-1260
Mailing Address572 Sw Bluff Dr, Ste ABend, OR 97702-1260 · (541) 318-5688 · Fax (541) 322-5581
Phone(541) 318-5688
Fax(541) 322-5581
Organization SubpartNo
Authorized OfficialRex Shannon GibsonOwner · (541) 318-5688
Enumeration DateAugust 10, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1992706055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in OR · D7724
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
572 SW BLUFF DR, Bend, OR 97702
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Other Names 1

Doing Business AsZooka Super Toothcare For Kids

Other Identifiers 1

Medicaid299183OR

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 Cascade Kids Dental's NPI number?

The NPI number for Cascade Kids Dental is 1992706055. It was assigned to this organization in the NPPES registry on August 10, 2005. The provider is doing business as Zooka Super Toothcare For Kids.

Where is Cascade Kids Dental located?

Cascade Kids Dental is located at 572 SW Bluff Dr Ste A, Bend, OR 97702. The listed phone number is (541) 318-5688.

What is Cascade Kids Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Cascade Kids Dental was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.