Melinda Elaine Bentley, B.S, RDH, LAP

Individual provider Active NPI Dental Hygienist · Prineville, OR

NPI 1265715403 · NPPES record last updated Sep 23, 2011

Key facts

NPI
1265715403
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
H4534 (OR)
Practice address
257 NE 2ND St
Prineville, OR 97754-1910
Phone
(541) 447-5838
NPI assigned
Sep 23, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
H4534ORMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Dental Associates of Crook County, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H4534 OR Yes

Addresses

Primary practice location

257 NE 2ND St
Prineville, OR 97754-1910

Mailing address

2888 SE Triangle Outfit Dr
Prineville, OR 97754-2551
Phone (541) 233-7122

Other providers in Prineville, OR

All providers in Prineville, OR · Dental Hygienist in Oregon

Sources for this page

Verify at the official NPI Registry.