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

Vista Orthodontic Group LLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1366259897

Vista Orthodontic Group LLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Bend, Oregon. Registered with an NPI since 2024.

In the registry since
2024
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

400 SW Bond St Ste 300
Bend, OR 97702-3798
Phone: (541) 848-6642
Fax: (541) 848-6642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1366259897
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Blair Struble — Owner/Orthodontist · (541) 848-6642
NPI enumeratedDecember 17, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing address400 Sw Bond St Ste 300, Bend, OR 97702-3798

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