OrganizationActive
Bandon Coastal Dental, LLC
NPI 1063756401 · Clinic/Center · Bandon, OR
Bandon Coastal Dental, LLC is a Clinic/Center organization in Bandon, OR (NPI 1063756401).
Provider details
- NPI number
- 1063756401
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Pantleo, Owner(541) 329-0550
- License
- D9802 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1097 Baltimore Ave
Bandon, OR 97411
Phone: (541) 329-0550
Street-level locationGet directions
Mailing address
Po Box 429
Bandon, OR 97411
Registry dates
- Enumerated
- 2012-11-26
- Last updated
- 2012-11-26
Frequently asked questions
- What is Bandon Coastal Dental, LLC's NPI number?
- Bandon Coastal Dental, LLC's National Provider Identifier (NPI) is 1063756401, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bandon Coastal Dental, LLC?
- Bandon Coastal Dental, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bandon Coastal Dental, LLC located?
- Bandon Coastal Dental, LLC's practice location on file with NPPES is 1097 Baltimore Ave, Bandon, OR 97411.
- What is Bandon Coastal Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Bandon Coastal Dental, LLC is (541) 329-0550.
- Who is the authorized official for Bandon Coastal Dental, LLC?
- The authorized official listed on Bandon Coastal Dental, LLC's NPPES record is Paul Pantleo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bandon Coastal Dental, LLC's NPI active?
- Yes — Bandon Coastal Dental, LLC's NPI (1063756401) is active in the NPPES registry as of the last update on 2012-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.