Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deeply Rooted Dentistry, LLC

Organization General Practice Dentistry · NPI 1871205393

Deeply Rooted Dentistry, LLC is a General Practice Dentistry in Bend, Oregon. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

461 NE Greenwood Ave Ste C
Bend, OR 97701
Phone: (541) 678-5060
Fax: (541) 306-4004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1871205393
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDeeply Rooted Dentistry, LLC
Authorized official Paul Kim — Dentist/Owner · (541) 678-5060
Other names Paul Kim, Dds
NPI enumeratedDecember 15, 2022
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022
Mailing address461 Ne Greenwood Ave, Suite C, Bend, OR 97701

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