SOUTH COAST DENTAL GROUP LLC - NPI 1790096402

Q: What is South Coast Dental Group LLC's NPI number?

The NPI number for South Coast Dental Group LLC is 1790096402. It was assigned to this organization in the NPPES registry on June 28, 2010. The provider is doing business as South Coast Family Dentistry. The provider is also known as South Coast Dental Group.

Q: What is South Coast Dental Group LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

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About South Coast Dental Group Llc NPPES

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

SOUTH COAST DENTAL GROUP LLC (NPI 1790096402), doing business as South Coast Family Dentistry, is a healthcare organization registered as a dentist in Coos Bay, Oregon and active in the NPI registry since June 2010. The organization maintains a secondary practice location in Bandon and lists Nicholas I Horn, Billing & Claims Manager, as its authorized official.

NPPES Registry Identity

NPI1790096402

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSOUTH COAST DENTAL GROUP LLC

Location Address295 S 10TH STCoos Bay, OR 97420-4623

Mailing Address295 S 10th StCoos Bay, OR 97420-4623 · (541) 269-5353 · Fax (541) 266-0933

Phone(541) 269-5353

Fax(541) 266-0933

Organization SubpartNo

Authorized OfficialNicholas I HornBilling & Claims Manager · (541) 269-5353

Enumeration DateJune 28, 2010

Last NPPES UpdateMay 14, 20262 updates tracked since enumeration

NPPES CertifiedMay 14, 2026

✔ NPI 1790096402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D9399

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

295 S 10TH ST, Coos Bay, OR 97420

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Other Names 2

Doing Business AsSouth Coast Family Dentistry

Other NameSouth Coast Dental Group

Secondary Practice Location 1

Location 1155 Delaware Ave SEBandon, OR 97411-9471 · Phone (541) 551-7347 · Fax (541) 266-0933

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 7

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

STANFORD SORENSEN DMD

Dentist