ADVANTAGE DENTAL ORAL HEALTH CENTER
NPI 1447812813
Dentist - General Practice in Bandon, OR

Q: What is Advantage Dental Group, PC's NPI number?

The NPI number for Advantage Dental Group, PC is 1447812813. It was assigned to this organization in the NPPES registry on July 5, 2019. The provider is doing business as Advantage Dental Oral Health Center.

Q: What is Advantage Dental Group, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since July 05, 2019CLIA 38D2303587 · Waiver

1275 OREGON AVE SE, BANDON, OR 97411(541) 551-4022(541) 516-4058 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Advantage Dental Oral Health Center NPPES

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

ADVANTAGE DENTAL ORAL HEALTH CENTER (NPI 1447812813) is a healthcare organization registered as a general practice in Bandon, Oregon and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through April 25, 2028 and lists Sharon Edmondson, Manger, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1447812813

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameADVANTAGE DENTAL GROUP, PC

Location Address1275 OREGON AVE SEBandon, OR 97411-9102

Mailing AddressPo Box 11470Eugene, OR 97440-3670 · (888) 468-0022

Phone(541) 551-4022

Fax(541) 516-4058

Organization SubpartNo

Authorized OfficialSharon EdmondsonManger, Licensing & Credentialing · (629) 999-5014

Enumeration DateJuly 5, 2019

Last NPPES UpdateOctober 25, 2021

NPPES CertifiedOctober 25, 2021

✔ NPI 1447812813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1275 OREGON AVE SE, Bandon, OR 97411

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Other Names 1

Doing Business AsAdvantage Dental Oral Health Center

Other Identifiers 1

Medicaid500694195OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2303587

Advantage Dental + Bandon · Bandon, OR

Active · expires Apr 25, 2028

CLIA Number38D2303587

Laboratory TypeDental

Certificate Effective DateApril 26, 2026

Certificate Expiration DateApril 25, 2028

Laboratory DirectorDr. Gary Allen

Laboratory Phone(541) 551-4022

Laboratory LocationAdvantage Dental + Bandon1275 Oregon Ave SE, Bandon, OR 97411

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRENTEN NEPHI TEW DMD

Dentist (General Practice)

1275 OREGON AVE SE
BANDON, OR 97411

Coos County (541) 551-4022

DR. GABRIELLE SCHAEFER WEISHOFF D.M.D.

Dentist (General Practice)

1275 OREGON AVE SE
BANDON, OR 97411

Coos County (888) 468-0022

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 Advantage Dental Group, PC's NPI number?

The NPI number for Advantage Dental Group, PC is 1447812813. It was assigned to this organization in the NPPES registry on July 5, 2019. The provider is doing business as Advantage Dental Oral Health Center.

Where is Advantage Dental Group, PC located?

Advantage Dental Group, PC is located at 1275 Oregon Ave SE, Bandon, OR 97411. The listed phone number is (541) 551-4022.

What is Advantage Dental Group, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Advantage Dental Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2303587) is associated with this NPI, valid through April 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advantage Dental Group, PC accept?

Health plans from UnitedHealthcare list Advantage Dental Group, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advantage Dental Group, PC was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.