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SOUTH COAST DENTAL GROUP LLC NPI 1790096402


NPI Information

NPI: 1790096402
Provider Name: SOUTH COAST DENTAL GROUP LLC

Doing Business As: SOUTH COAST FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
295 S 10TH ST
COOS BAY, OR
ZIP 97420
Phone: (541) 269-5353
Get Directions

SOUTH COAST DENTAL GROUP LLC is a general practice dentist in Coos Bay, OR. The provider is 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. SOUTH COAST DENTAL GROUP LLC NPI is 1790096402. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As South Coast Family Dentistry.

The provider's business location address is:

295 S 10TH ST
COOS BAY, OR
ZIP 97420-623
Phone: (541) 269-5353
Fax: (541) 266-0933

The provider's authorized official is Nicholas I Horn .
The authorized official title is Billing & Claims Manager and has the following contact phone number (541) 269-5353.

The enumeration date for this NPI number is 6/28/2010 and was last updated on 2/23/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistD9399OREGONNo
21223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.