Active NPIOrganization

Advantage Dental Group, PC

Dentist, General Practice in Bandon, Oregon

NPI Number1447812813
Practice location
1275 Oregon Ave SE, Bandon, OR 97411-9102
Fax
541-516-4058
Last updated
October 25, 2021

Advantage Dental Group, PC is a healthcare organization based in Bandon, OR. Advantage Dental Group, PC practices in Bandon, OR. The NPI Number for Advantage Dental Group, PC is 1447812813. The current practice location address for Advantage Dental Group, PC is 1275 Oregon Ave SE, Bandon, OR 97411-9102 and can be reached out via phone at 541-551-4022 and via fax at 541-516-4058.

Provider Profile Details

NPI Number
1447812813
Provider Name
Advantage Dental Group, PC
Provider Entity Type
Organization
Address
1275 Oregon Ave SE, Bandon, OR 97411-9102
Phone Number
541-551-4022
Fax Number
541-516-4058
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Sharon Edmondson · Manger, Licensing & Credentialing · 629-999-5014
Other Names
Advantage Dental Oral Health Center (Doing Business As)
Provider Enumeration Date
July 5, 2019
Last Update Date
October 25, 2021
Certification Date
October 25, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1275 Oregon Ave SE
Bandon, OR 97411-9102
City
Bandon
State
Oregon
Zip
97411-9102
Phone Number
541-551-4022
Fax Number
541-516-4058
Bandon, OR 97411Get directions →

Provider Business Mailing Address Details

Address
Po Box 11470
Eugene, OR 97440-3670
City
Eugene
State
OR
Zip
97440-3670
Phone Number
888-468-0022

License Information

Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Advantage Dental Group, PC?

The NPI number of Advantage Dental Group, PC is 1447812813. It was assigned on July 5, 2019 and is currently active in the NPPES registry.

What is the specialty of Advantage Dental Group, PC?

Advantage Dental Group, PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Advantage Dental Group, PC practice?

The practice location is 1275 Oregon Ave SE, Bandon, OR 97411-9102. The office can be reached at 541-551-4022 (phone) or 541-516-4058 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447812813 directly on the NPPES registry website.

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