William D. Bettis, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4498 Issued in OR

Legal business name

WILLIAM D. BETTIS, DMD, PC

Practice address

1729 W Harvard Ave
Suite 2
Roseburg, OR 97471-2788

Phone

(541) 673-6344

Fax

(541) 673-9706

NPI assigned

Jan 30, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William D Bettis, DMD

Title

Owner

Phone

(541) 673-6344

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1083986673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1668",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700408",
            "telephone_number": "541-673-6344",
            "fax_number": "541-673-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 W HARVARD AVE",
            "address_2": "SUITE 2",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712788",
            "telephone_number": "541-673-6344",
            "fax_number": "541-673-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM D. BETTIS, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "BETTIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-673-6344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D4498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Roseburg, OR
• Providers in Roseburg, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.