Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710449277 Individual Practitioner Male Practitioner

Dr. Samuel M Elcik , DMD

Dentist • Bend, OR

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Elcik, DMD is a registered healthcare professional specializing in Dentist in Bend, OR. Practice services are available at 901 NW CARLON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

901 Nw Carlon Ave

Bend, OR 977032636

Telephone 5413891884
Associated Practice Facility / Clinic
🏢 Lifetime Vision Care Facility NPI 1508961731

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: 2021-06-23
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D11260

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Katherine Stahrr , DDS

Dentist - General Practice

NPI 1215355359

Doctor of Dental Surgery

NPI 1598509705

Doctor of Dental Surgery

Dr. Jeffrey Johnson , DDS

Dentist - General Practice

NPI 1710100318

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 23, 2021

Registered at 901 NW CARLON AVE, BEND, OR 977032636 (Tel: 5413891884)

👤
Provider Name / Credentials Updated June 23, 2021

Recorded as SAMUEL ELCIK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2021

Dentist (License #D11260 in OR)

NPI Profile Active April 03, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2019

Registered at 4915 25TH AVE NE, SEATTLE, WA 981055667 (Tel: 2065241600)

📍
Updated Business Mailing Address April 03, 2019

Registered at 2293 S 800 E, SALT LAKE CITY, UT 841061872 (Tel: 4438229965)

👤
Provider Name / Credentials Updated April 03, 2019

Recorded as SAMUEL ELCIK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 03, 2019

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: 1710449277
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2019
Last Update: June 23, 2021
Sole Proprietor: No

Mailing Address

2293 S 800 E

Salt Lake City, UT 841061872

Phone: 4438229965

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.