Provider Type Icon

R SCOTT ROBERTS DDS PC NPI 1659479095


NPI Information

NPI: 1659479095
Provider Name: R SCOTT ROBERTS DDS PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
3500 CEDAR ST
NORTH BEND, OR
ZIP 97459
Phone: (541) 756-0558
Get Directions

R SCOTT ROBERTS DDS PC is an oral and maxillofacial surgery dentist in North Bend, OR. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. R SCOTT ROBERTS DDS PC NPI is 1659479095. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3500 CEDAR ST
NORTH BEND, OR
ZIP 97459-108
Phone: (541) 756-0558
Fax: (541) 756-1974

The provider's authorized official is R Scott Roberts .
The authorized official title is Owner and has the following contact phone number (541) 756-0558.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryD7517OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1297175MEDICAIDOREGON
2D7517OTHEROREGONDENTAL LICENSE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.