National Provider Identifier Database

K L OMS LLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

K & L OMS LLC
1475 SW CHANDLER AVE STE 101
BEND, OR97702-3239
Phone: 541-617-3993
Fax: 541-617-0030
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X
Oral and Maxillofacial Surgery 1223S0112X

* Indicates primary specialty

NPI Profile & details for K & L OMS LLC

NPI Number 1063942043
Legal business name
LBN
K & L OMS LLC
Authorized official KEITH KRUEGER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/13/2017
Last updated 01/10/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: D6629

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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