Provider Demographics
NPI:1164231619
Name:KD ENDO, LLC
Entity type:Organization
Organization Name:KD ENDO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BITNER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:541-255-9831
Mailing Address - Street 1:2225 NW SHEVLIN PARK RD STE 140
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-7133
Mailing Address - Country:US
Mailing Address - Phone:844-929-3636
Mailing Address - Fax:
Practice Address - Street 1:2225 NW SHEVLIN PARK RD STE 140
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-7133
Practice Address - Country:US
Practice Address - Phone:844-929-3636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty