Individual
CASEY A THEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
61249 S HWY 97 STE 100, BEND, OR 97702-2665
(541) 668-8959
Mailing address
61249 S HWY 97 STE 100, BEND, OR 97702-2665
(541) 668-8959
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11112
OR
1223D0001X
Public Health Dentistry
D11112
OR
Other
Enumeration date
07/29/2019
Last updated
09/06/2023
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