Deeply Rooted Dentistry, LLC
NPI 1871205393ActiveOrganization· Dentist, General Practice· Bend, OR
Dentist, General Practice in Bend, Oregon, registered in NPPES in December 2022, part of Deeply Rooted Dentistry, LLC. The authorized official on file is Paul H. Kim, DMD, Dentist/Owner.
Overview
| NPI | 1871205393 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Deeply Rooted Dentistry, LLC |
| NPI issued | Dec 15, 2022 |
| Last updated in NPPES | Dec 15, 2022 |
| Certified by provider | Dec 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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