Cascade Kids Dental is a Pediatric Dental Clinic in Bend, Oregon. It is located at 572 Sw Bluff Dr, Ste A, Bend, OR and its contact number is 541-318-5688. The authorized person for Cascade Kids Dental is Dr. Rex Shannon Gibson
who is Owner of the clinic and their contact number is 541-318-5688. The primary license number for Cascade Kids Dental is D7724 (Pediatric Dentistry) in Oregon.
Cascade Kids Dental Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Cascade Kids Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Cascade Kids Dental |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 572 Sw Bluff Dr, Ste A, Bend,
Oregon, 97702-1260 |
| Phone: | 541-318-5688 |
| Fax: | 541-322-5581 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Rex Shannon Gibson |
| Position: | Owner |
| Contact Number: | 541-318-5688 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Cascade Kids Dental clinic are as mentioned below.
| NPI Number: | 1992706055 |
| NPI Enumeration Date: | 10 Aug, 2005 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cascade Kids Dental are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | D7724 | Oregon | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 299183 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Cascade Kids Dental
572 Sw Bluff Dr, Ste A
Bend, Oregon |
| Zip: | 97702-1260 |
| Phone Number: | 541-318-5688 |
| Fax Number: | 541-322-5581 |
Patients can reach Cascade Kids Dental at
572 Sw Bluff Dr, Ste A, Bend, Oregon or can
call to book an appointment on 541-318-5688.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.