Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417484296 Individual Practitioner Female Practitioner

Dr. Kylie Wasserman , DDS

Dentist • Bend, OR

Professional Overview & Biography Verified Profile Summary

Dr. Kylie Wasserman, DDS is a registered healthcare professional specializing in Dentist in Bend, OR. Practice services are available at 3081 N HIGHWAY 97 STE 150 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3081 N Highway 97 Ste 150

Bend, OR 977037569

Telephone 5417979136
Fax 4582022218
Associated Practice Facility / Clinic
🏢 Three Sisters Sleep Llc Facility NPI 1609523166

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
53 Specialists

Practicing in Bend, OR (1289 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: 2022-12-05
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D10789

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License OR D10789

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dentist, Health Care
1417484296 (OR)

Secondary Practice Locations

16461 William Foss Rd

La Pine, OR 977399486

Phone: 5419077020

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location December 05, 2022

Registered at 3081 N HIGHWAY 97 STE 150, BEND, OR 977037569 (Tel: 5417979136)

📍
Updated Business Mailing Address December 05, 2022

Registered at 3081 N HWY 97 STE 150, BEND, OR 977037569 (Tel: 5417979136)

📍
Updated Practice Location July 17, 2018

Registered at 965 SW EMKAY DR STE 100, BEND, OR 97702 (Tel: 5413830754)

📍
Updated Business Mailing Address July 17, 2018

Registered at 965 SW EMKAY DR STE 100, BEND, OR 977023598 (Tel: 5413830754)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2018

Dentist (License #D10789 in OR)

NPI Profile Active May 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2017

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011 (Tel: 5034948211)

📍
Updated Business Mailing Address May 11, 2017

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011 (Tel: 5034948211)

👤
Provider Name / Credentials Updated May 11, 2017

Recorded as KYLIE WASSERMAN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 11, 2017

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: 1417484296
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2017
Last Update: December 05, 2022
Sole Proprietor: No

Mailing Address

3081 N Hwy 97 Ste 150

Bend, OR 977037569

Phone: 5417979136

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.