Individual
DR. TAYLER RAY PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
63455 N HWY 97 STE 13, BEND, OR 97703-5724
(458) 320-2681
Mailing address
63143 OB RILEY RD, BEND, OR 97703-9003
(541) 588-2040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11753
OR
Other
Enumeration date
06/08/2021
Last updated
01/08/2025
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