Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Bandon Coastal Dental, LLC

Clinic/Center in Bandon, OR · enumerated 2012 · authorized official Paul Pantleo, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063756401

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Registry record

Entity type Organization (Type 2)

Legal business name Bandon Coastal Dental, LLC

Practice address 1097 Baltimore Ave, Bandon, OR, 97411

Phone (541) 329-0550

Enumeration date Nov 26, 2012

Last updated in NPPES Nov 26, 2012

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities · License D9802 (OR) Primary

Authorized official

Name Paul Pantleo

Title Owner

Phone (541) 329-0550

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-11-26. Verify at npiregistry.cms.hhs.gov.

Where is Bandon Coastal Dental, LLC located?

The practice location on file with NPPES is in Bandon, OR.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-11-26.