BANDON COASTAL DENTAL, LLC
NPI 1063756401
Clinic/Center in Bandon, OR

Q: What is Bandon Coastal Dental, LLC's NPI number?

The NPI number for Bandon Coastal Dental, LLC is 1063756401. It was assigned to this organization in the NPPES registry on November 26, 2012.

Q: What is Bandon Coastal Dental, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since November 26, 2012

1097 BALTIMORE AVE, BANDON, OR 97411(541) 329-0550 Get Directions Write a Review

NPPES record last updated: November 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bandon Coastal Dental, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANDON COASTAL DENTAL, LLC (NPI 1063756401) is a healthcare organization registered as a clinic/center in Bandon, Oregon and active in the NPI registry since November 2012. The organization lists Paul Morris Pantleo, Owner, as its authorized official.

NPPES Registry Identity

NPI1063756401

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameBANDON COASTAL DENTAL, LLC

Location Address1097 BALTIMORE AVEBandon, OR 97411

Mailing AddressPo Box 429, 1097 Baltimore AveBandon, OR 97411 · (541) 329-0550 · Fax (541) 329-0309

Phone(541) 329-0550

Organization SubpartNo

Authorized OfficialPaul Morris PantleoOwner · (541) 329-0550

Enumeration DateNovember 26, 2012

✔ NPI 1063756401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in OR · D9802

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1097 BALTIMORE AVE, Bandon, OR 97411

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bandon Coastal Dental, LLC's NPI number?

The NPI number for Bandon Coastal Dental, LLC is 1063756401. It was assigned to this organization in the NPPES registry on November 26, 2012.

Where is Bandon Coastal Dental, LLC located?

Bandon Coastal Dental, LLC is located at 1097 Baltimore Ave, Bandon, OR 97411. The listed phone number is (541) 329-0550.

What is Bandon Coastal Dental, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Bandon Coastal Dental, LLC was last updated on November 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.