Advantage Dental Group, PC
Dentist, General Practice in Bandon, Oregon
1447812813- Practice location
- 1275 Oregon Ave SE, Bandon, OR 97411-9102
- Phone
- 541-551-4022
- Fax
- 541-516-4058
- Last updated
- October 25, 2021
Advantage Dental Group, PC is a healthcare organization based in Bandon, OR. The NPI number for Advantage Dental Group, PC is 1447812813. The current practice location address is 1275 Oregon Ave SE, Bandon, OR 97411-9102 and the office can be reached by phone at 541-551-4022 and by fax at 541-516-4058. The NPI was assigned on July 5, 2019 and the record was last updated in NPPES on October 25, 2021.
●Provider Profile Details
- NPI Number
- 1447812813
- Provider Name
- Advantage Dental Group, PC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Sharon Edmondson · Manger, Licensing & Credentialing · 629-999-5014
- Enumeration Date
- July 5, 2019
- Last Update Date
- October 25, 2021
- Certification Date
- October 25, 2021
- NPI Status
- Active
- Other Names
- Advantage Dental Oral Health Center (Doing Business As)
◉Business Practice Location Address
- Address
- 1275 Oregon Ave SE
Bandon, OR 97411-9102 - City
- Bandon
- State
- Oregon
- ZIP
- 97411-9102
- Country
- US
- Phone Number
- 541-551-4022
- Fax Number
- 541-516-4058
✉Business Mailing Address
- Address
- Po Box 11470
Eugene, OR 97440-3670 - City
- Eugene
- State
- OR
- ZIP
- 97440-3670
- Phone Number
- 888-468-0022
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Dentist, General Practice 193400000X - Single Specialty Group | 1223G0001X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Bandon, OR
View all providers in Bandon →?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 at npiregistry.cms.hhs.gov.