Joel Bender, D.M.D.
Individual provider Active NPI Dentist · Union, OR
NPI 1023345535 · NPPES record last updated Nov 5, 2009
Key facts
- NPI
- 1023345535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D5939 (OR)
- Practice address
- 142 E. Dearborn St.
Union, OR 97883 - Phone
- (541) 562-6180
- NPI assigned
- Nov 5, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D5939 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South County Health District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D5939 | OR | Yes |
Addresses
Primary practice location
142 E. Dearborn St.
Union, OR 97883
Mailing address
PO Box 605
South County Health District
Union, OR 97883
Phone (541) 562-6180
Other providers in Union, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.