Curtis B Bedont, D.M.D

Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Camas, WA

NPI 1023028495 · NPPES record last updated Mar 28, 2013

Key facts

NPI
1023028495
Entity type
Individual (NPI type 1)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License
DE 60156965 (WA)
Practice address
1905 SE 192ND Ave
Ste 201
Camas, WA 98607-7415
Phone
(360) 335-3232
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
D-3557IDMDOrthodontics and Dentofacial Orthopedic Dentist
D9440ORMDOrthodontics and Dentofacial Orthopedic Dentist
DE 60156965WAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Curtis B. Bedont, DMD, LLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients
Curtis B. Bedont DMD, PLLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D-3557 ID
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE 60156965 WA Yes
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D9440 OR

Addresses

Primary practice location

1905 SE 192ND Ave
Ste 201
Camas, WA 98607-7415

Mailing address

1905 SE 192ND Ave
Ste 201
Camas, WA 98607-7415
Phone (360) 335-3232

Other identifiers

IdentifierTypeStateIssuer
1023028495MedicaidWA

Other providers in Camas, WA

All providers in Camas, WA · Orthodontics and Dentofacial Orthopedics Dentistry in Washington

Sources for this page

Verify at the official NPI Registry.