DR. KEITH EDWARD KRUEGER (NPI# 1720044126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720044126 |
Entity Type | Individual |
Full Name | DR. KEITH EDWARD KRUEGER |
Credential | DMD |
Practice Address |
1475 Sw Chandler Ave Suite 101 Bend OR 97702-3238 |
Practice Telephone | 5416173993 |
Practice Fax Number | 5416170030 |
Mailing Telephone | 5416173993 |
Mailing Fax Number | 5416170030 |
Enumeration Date | 2006-04-25 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
D6629 | OR | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083911812 | Keith J Krueger | Psychologist | 1812 Sumner Ave Ste I, Aberdeen, WA 98520-4602 | 2011-02-14 |
1457300410 | Keith Kelsey Krueger | Chiropractor | 1382 Harrisburg Pike, Lancaster, PA 17601-2613 | 2006-05-08 |
1023185352 | Keith Kenneth Krueger | Family Medicine | 2336 Lexington Ave N, Roseville, MN 55113-4343 | 2006-11-30 |
Street Address |
1475 SW CHANDLER AVE SUITE 101 |
City | BEND |
State | OR |
Zip Code | 97702-3238 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861497885 | Steven Christensen | Dentist | 1475 Sw Chandler Ave, Ste 202, Bend, OR 97702-3240 | 2005-06-16 |
1316490527 | Joshua Hardin | Dentist | 1475 Sw Chandler Ave, Suite 201, Bend, OR 97702-3238 | 2016-07-25 |
1245440676 | Nathan D Lenox | Dentist | 1475 Sw Chandler Ave, Suite 101, Bend, OR 97702 | 2007-05-23 |
1023223732 | Deschutes Pediatric Dentistry PC | Clinic/Center | 1475 Sw Chandler Ave, Suite 202, Bend, OR 97702-3238 | 2007-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
Find all providers in zip 97702 |
Taxonomy Code | 1223P0106X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Pathology |
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093746174 | Southern Oregon Oral and Maxillofacial Surgeons | Dentist | 3162 State St, Medford, OR 97504-8450 | 2006-07-06 |
1669435806 | Bryan R. Harvey | Dentist | 331 Warner Milne Rd, Oregon City, OR 97045-4045 | 2006-04-10 |
1508827478 | Wei-yuhg Yih | Dentist | 611 Sw Campus Dr, Sd-515, Portland, OR 97239-3001 | 2006-03-30 |
1790229888 | Northwest Oral Pathology | Dentist | 12254 Sw Garden Pl, Tigard, OR 97223-8246 | 2016-12-08 |
1629286273 | Northwest Oral & Maxillofacial Surgeons, LLC | Dentist | 24850 Se Stark St, Suite 100, Gresham, OR 97030-8316 | 2007-05-18 |
1063413722 | Henry Cooke Windell | Dentist | 24850 Se Stark St, Gresham, OR 97030-8316 | 2005-08-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.