South Coast Family Dentistry – General Practice Dentistry, NPI 1790096402

South Coast Family Dentistry is a healthcare provider. based in Coos bay, Oregon. specializing in General Practice Dentistry. The organization holds a License No. D9399 (OR). The NPI Number for South Coast Family Dentistry is 1790096402

Main info

Organization
Name
South Coast Family Dentistry
NPI
1790096402
Phone
(541) 269-5353
Address
295 S 10TH ST
Authorized Official
MR. NICHOLAS I HORN BILLING & CLAIMS MANAGER
Enumeration Date
28 June 2010
Last Update Date
23 February 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness80
Years active:15State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for South Coast Family Dentistry

  • 295 S 10TH ST

    COOS BAY, OR 974204623

    Phone: (541) 269-5353

    Fax: (541) 266-0933

    Type: Mailing

  • 1250 THOMPSON RD

    COOS BAY, OR 974202538

    Phone: (541) 269-5353

    Fax: (541) 266-0933

    Type: Mailing

  • 155 Delaware Ave SE

    Bandon, OR 974119471

    Phone: (541) 551-7347

    Fax: (541) 266-0933

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97420)

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Reviews

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Frequently asked questions

What identifier follows South Coast Family Dentistry across health systems?
The NPI 1790096402 uniquely identifies South Coast Family Dentistry in U.S. healthcare data.
Is South Coast Family Dentistry currently accepting referrals based on NPI status?
Registry metadata lists South Coast Family Dentistry as active.
What does the directory say South Coast Family Dentistry does?
Insurance directories may phrase it differently, but here South Coast Family Dentistry maps to General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Is South Coast Family Dentistry tied to Coos Bay, Oregon?
If you are local to Coos Bay, Oregon, South Coast Family Dentistry may be relevant to your search.
Why is information missing for South Coast Family Dentistry?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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