Individual
KENNETH SHIRTCLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
906 NE GREENWOOD AVE, SUITE #1, BEND, OR 97701-4892
(541) 382-4848
Mailing address
906 NE GREENWOOD AVE, SUITE #1, BEND, OR 97701-4892
(541) 382-4848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7610
OR
Other
Enumeration date
07/26/2005
Last updated
12/07/2025
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