Active NPI 1811564941 Individual Practitioner Male Practitioner

Dr. Tayler Ray Pennington , DDS

Dentist - General Practice • Bend, OR

Professional Overview & Biography Verified Profile Summary

Dr. Tayler Pennington, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bend, OR. Practice services are available at 63455 N HWY 97 STE 13 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

63455 N Hwy 97 Ste 13

Bend, OR 977035724

Telephone 4583202681

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bend, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

72 Specialists

Practicing in Bend, OR (1994 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-08

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D11753

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location January 08, 2025

Registered at 63455 N HWY 97 STE 13, BEND, OR 977035724 (Tel: 4583202681)

📍

Updated Business Mailing Address January 08, 2025

Registered at 63143 OB RILEY RD, BEND, OR 977039003 (Tel: 5415882040)

👤

Provider Name / Credentials Updated January 08, 2025

Recorded as TAYLER PENNINGTON, DDS

📍

Updated Practice Location March 21, 2023

Registered at 48 NE 11TH ST, MADRAS, OR 977411865 (Tel: 5418371696)

📍

Updated Business Mailing Address March 21, 2023

Registered at 7750 WALNUT HILL LN APT 3108, DALLAS, TX 752305675 (Tel: 3168330873)

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Provider Name / Credentials Updated March 21, 2023

Recorded as TAYLER BRUCE, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2023

Dentist (License #D11753 in OR)

✅

NPI Profile Active June 08, 2021

NPI status registered as active in NPPES database

📍

Updated Practice Location June 08, 2021

Registered at 2301 HOLMES ST, KANSAS CITY, MO 641082677 (Tel: 8164041000)

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Updated Business Mailing Address June 08, 2021

Registered at 102 E 28TH TER APT 10, KANSAS CITY, MO 641083343 (Tel: 3168330873)

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Provider Name / Credentials Updated June 08, 2021

Recorded as TAYLER SCHARTZ, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2021

Dentist (License #2021020720 in MO)

🟢

Initial NPI Registration & Enumeration June 08, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811564941

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 08, 2021

Last Update: January 08, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

63143 Ob Riley Rd

Bend, OR 977039003

Phone: 5415882040

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.