Organization
JARED R. ANDERSON, DDS, PC
Active
Parent organization
JARED R. ANDERSON, DDS, PC
Other names
Select Care Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
JARED R. ANDERSON, DDS, PC
Authorized official
JARED R. ANDERSON DDS (OWNER)
(541) 323-3930
Entity
Organization
Contact information
Practice address
499 SW UPPER TERRACE DR. #B, BEND, OR 97702
(541) 323-3930
(541) 323-3929
Mailing address
499 SW UPPER TERRACE DR. #B, BEND, OR 97702
(541) 323-3930
(541) 323-3929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D10730
OR
122300000X
Dentist
Primary
D8086
OR
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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