Active NPI
West River Dental LLC
- Dental Clinic/Center
- Bend, OR
National Provider Identifier
1598669038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- WEST RIVER DENTAL LLC
- Practice address
- 701 NW Arizona Ave Ste 100
Bend, OR 97703-3298 - Phone
- (541) 317-5732
- NPI assigned
- Oct 7, 2026
- Last updated
- Oct 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis Holly, DMD
- Title
- Owner
- Phone
- (971) 235-0777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
701 NW Arizona Ave Ste 100
Bend, OR 97703-3298
Mailing address
701 NW Arizona Ave Ste 100
Bend, OR 97703-3298
Phone (541) 317-5732
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Bend, OR
- NPI 1649596248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791331200000",
"number": "1598669038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 NW ARIZONA AVE STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977033298",
"telephone_number": "541-317-5732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 NW ARIZONA AVE STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977033298",
"telephone_number": "541-317-5732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST RIVER DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-07",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A",
"authorized_official_last_name": "HOLLY",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "971-235-0777",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.