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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BANDON COASTAL DENTAL, LLC

Active Organization

BANDON COASTAL DENTAL, LLC is a Clinic/Center organization located in BANDON, Oregon. NPI 1063756401 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · BANDON, OR

Registration Details

NPI Number
1063756401
Provider Type
Organization
NPI Issued
Nov 26, 2012 (13.528185610044 yrs)
Last Updated
Nov 26, 2012
License
D9802 (OR)

Practice Information

Address
1097 BALTIMORE AVE
BANDON, OR, 97411
Browse OR providers · Browse ZIP 97411
Phone
5413290550
Primary Specialty
Clinic/Center
261Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.