Michael J Longlet, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D10402 Issued in OR

Practice address

775 SW Bonnett Way Ste 100
Bend, OR 97702

Phone

(541) 388-0078

Fax

(541) 388-1377

NPI assigned

Feb 4, 2014

Last updated

Jun 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 24, 2026 through Mar 24, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Funner Dentalworks LLC

  dba Mill Point Dental Center

  • Dentist
  • Bend, OR
  • NPI 1740947191
  NPD (past)
• Marika J Stone DDS, PC

  dba MillPoint Dental Center

  • Dentist
  • Bend, OR
  • NPI 1528450533
  NPD (past)
• Snoring and Sleep Apnea Dental Treatment Center

  • General Practice Dentistry
  • Edina, MN
  • NPI 1063644888
  NPD (past)

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1245654789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 SW BONNETT WAY STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022080",
            "telephone_number": "541-388-0078",
            "fax_number": "541-388-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SW BONNETT WAY STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-388-0078",
            "fax_number": "541-388-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGLET",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-04",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13380",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D10402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Jane Long, LAURA LONG, RN
• Michael A Long, MA, LMFT
• Myrna Long
• Paul Robert Long, PAUL LONG M.D.
• Chelsea Longlet, D.D.S.
• Jeffrey Lee Longtain
• Kailey Ann Beckwith Lonigro, OTD
• Amy Ruth Lopez Machado
• Alexandra Lopez, MC LPCA
• Geena Rae Lopez

• Dentist in Bend, OR
• Providers in Bend, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.