OrganizationActive
South Coast Dental Group LLC
NPI 1790096402 · Dentist · Coos Bay, OR
South Coast Dental Group LLC is a Dentist organization in Coos Bay, OR (NPI 1790096402).
Provider details
- NPI number
- 1790096402
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Nicholas Horn, Billing & Claims Manager(541) 269-5353
- License
- D9399 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
295 S 10th St
Coos Bay, OR 97420-4623
Phone: (541) 269-5353
Fax: (541) 266-0933
Street-level locationGet directions
Mailing address
295 S 10th St
Coos Bay, OR 97420-4623
Other names (DBA / former)
- Other name
- South Coast Dental Group
- Doing business as
- South Coast Family Dentistry
- Doing business as
- South Coast Family Dentistry
Additional practice locations (1)
- 155 Delaware Ave SeBandon, OR 97411-9471Phone: (541) 551-7347Fax: (541) 266-0933
Registry dates
- Enumerated
- 2010-06-28
- Last updated
- 2026-05-14
- Certified
- 2026-05-14
Frequently asked questions
- What is South Coast Dental Group LLC's NPI number?
- South Coast Dental Group LLC's National Provider Identifier (NPI) is 1790096402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Coast Dental Group LLC?
- South Coast Dental Group LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is South Coast Dental Group LLC located?
- South Coast Dental Group LLC's practice location on file with NPPES is 295 S 10th St, Coos Bay, OR 97420-4623.
- What is South Coast Dental Group LLC's phone number?
- The practice phone number listed in the NPPES registry for South Coast Dental Group LLC is (541) 269-5353.
- Who is the authorized official for South Coast Dental Group LLC?
- The authorized official listed on South Coast Dental Group LLC's NPPES record is Nicholas Horn, Billing & Claims Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Coast Dental Group LLC's NPI active?
- Yes — South Coast Dental Group LLC's NPI (1790096402) is active in the NPPES registry as of the last update on 2026-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.