Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bandon Coastal Dental, LLC

Organization Clinic/Center · NPI 1063756401

Bandon Coastal Dental, LLC is a Clinic/Center in Bandon, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1097 Baltimore Ave
Bandon, OR 97411
Phone: (541) 329-0550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence D9802 (OR)

Record details

NPI number1063756401
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Pantleo — Owner · (541) 329-0550
NPI enumeratedNovember 26, 2012
Last updated in NPPESNovember 26, 2012
Mailing addressPo Box 429, 1097 Baltimore Ave, Bandon, OR 97411