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

Mirror Pond Dental, LLC

Organization General Practice Dentistry · NPI 1225401052

Mirror Pond Dental, LLC is a General Practice Dentistry in Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
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

102 NW Newport Ave
Bend, OR 97703-1838
Phone: (541) 382-2256
Fax: (541) 389-5229
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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 · Licence D7335 (OR)

Record details

NPI number1225401052
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Nordstrom — Owner · (541) 382-2256
NPI enumeratedNovember 2, 2015
Last updated in NPPESNovember 2, 2015
Mailing address102 Nw Newport Ave, Bend, OR 97703-1838

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