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

Mosaic Medical Dental

Organization Dental Clinic/Center · NPI 1174066963

Mosaic Medical Dental is a Dental Clinic/Center in Prineville, Oregon. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

375 NW Beaver St Ste 101
Prineville, OR 97754-1802
Phone: (541) 447-0707
Fax: (541) 383-1883
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1174066963
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMosaic Medical
Authorized official Megan Haase — Ceo · (541) 447-0707
Other names Mosaic Medical Prineville Dental
NPI enumeratedNovember 28, 2016
Last updated in NPPESFebruary 28, 2018
Mailing address600 Sw Columbia St, Suite 6210, Bend, OR 97702-1099

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