MEDICARE: DANIEL P. BITNER, DMD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics	8852	OR

General Provider Information

NPI Number	:	1740624493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL P. BITNER, DMD, PC

Provider Business Mailing Address
First Line	:	1590 NE WILLIAMSON BLVD
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97701-6071
Country	:	US
Telephone Number	:	541-388-1500
Fax Number	:	541-388-6995

Provider Business Practice Location Address
First Line	:	1590 NE WILLIAMSON BLVD
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97701-6071
Country	:	US
Telephone Number	:	541-388-1500
Fax Number	:	541-388-6995

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DANIEL POULSON BITNER
Credential	:	DMD
Telephone Number	:	541-388-1500

Provider Enumeration Date	:	04/24/2013
Last Update Date	:	04/24/2013

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