NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

BANDON COASTAL DENTAL, LLC – #1063756401
Clinic/Center

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).


Contact Information

BANDON COASTAL DENTAL, LLC
1097 BALTIMORE AVE
BANDON, OR97411
 Phone: 541-329-0550
 Fax:
 Website:
 

Specialty

Taxonomy

Clinic/Center

261Q00000X
Indicates primary specialty
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NPI Information

NPI Number 1063756401
Entity Organization
Organization subpart N
Enumeration date 11/26/2012
Last updated 11/26/2012
Identifiers
OR License # D9802

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