NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

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

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for BANDON COASTAL DENTAL, LLC

NPI Number 1063756401
LBN Legal business name BANDON COASTAL DENTAL, LLC
Authorized official PAUL PANTLEO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/26/2012
Last updated 11/26/2012 - About 4 years ago
Identifiers
OR License # D9802
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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